Healthcare Provider Details

I. General information

NPI: 1710327895
Provider Name (Legal Business Name): SARAH J FORTIER-SOUZA MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2013
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 S MAIN ST STE 8
FALL RIVER MA
02721-5302
US

IV. Provider business mailing address

226 S MAIN ST STE 8
FALL RIVER MA
02721-5302
US

V. Phone/Fax

Practice location:
  • Phone: 508-207-5643
  • Fax: 508-207-5643
Mailing address:
  • Phone: 508-207-5643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: