Healthcare Provider Details

I. General information

NPI: 1528313004
Provider Name (Legal Business Name): SANDRA FARIA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2012
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 BRIGHAM HILL RD
ATTLEBORO MA
02703-6735
US

IV. Provider business mailing address

225 NEWMAN AVE
RUMFORD RI
02916-1218
US

V. Phone/Fax

Practice location:
  • Phone: 401-480-6022
  • Fax:
Mailing address:
  • Phone: 401-480-6022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00718
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10000810
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: