Healthcare Provider Details

I. General information

NPI: 1487299145
Provider Name (Legal Business Name): SARAH ELIZABETH GARCIA MS, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2019
Last Update Date: 11/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 HIGHLAND AVE STE B
CHESHIRE CT
06410-2531
US

IV. Provider business mailing address

8 COLONIAL LN
WALLINGFORD CT
06492-3053
US

V. Phone/Fax

Practice location:
  • Phone: 203-599-1492
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number003888
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: