Healthcare Provider Details

I. General information

NPI: 1508704446
Provider Name (Legal Business Name): MS. SARAH-MARIE GABRIELLE THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 AMERICAN LEGION HWY
BOSTON MA
02131-3908
US

IV. Provider business mailing address

780 AMERICAN LEGION HWY
BOSTON MA
02131-3908
US

V. Phone/Fax

Practice location:
  • Phone: 617-469-8500
  • Fax:
Mailing address:
  • Phone: 617-469-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: