Healthcare Provider Details

I. General information

NPI: 1689344905
Provider Name (Legal Business Name): SARAH BRIGGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2021
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 VESTA RD
SALIDA CO
81201-9327
US

IV. Provider business mailing address

111 VESTA RD
SALIDA CO
81201-9327
US

V. Phone/Fax

Practice location:
  • Phone: 719-275-2351
  • Fax: 719-269-9386
Mailing address:
  • Phone: 197-275-2351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number.09927731
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: