Healthcare Provider Details
I. General information
NPI: 1902723984
Provider Name (Legal Business Name): SARA NASTASI
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
128 CHADD RD
NEWARK DE
19711-6000
US
IV. Provider business mailing address
525 POLLY DRUMMOND HILL RD
NEWARK DE
19711-4342
US
V. Phone/Fax
- Phone: 302-276-8755
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | AC-0010522 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: