Healthcare Provider Details

I. General information

NPI: 1437082104
Provider Name (Legal Business Name): SARAH BESOCKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ALDER RD
SIMSBURY CT
06070-1601
US

IV. Provider business mailing address

11 ALDER RD
SIMSBURY CT
06070-1601
US

V. Phone/Fax

Practice location:
  • Phone: 626-200-6630
  • Fax:
Mailing address:
  • Phone: 626-200-6630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: