Healthcare Provider Details

I. General information

NPI: 1851524482
Provider Name (Legal Business Name): SARA BREWER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2009
Last Update Date: 08/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 TURNPIKE ST
SOUTH EASTON MA
02375-1152
US

IV. Provider business mailing address

225 TURNPIKE ST
SOUTH EASTON MA
02375-1152
US

V. Phone/Fax

Practice location:
  • Phone: 617-471-8400
  • Fax: 617-845-9255
Mailing address:
  • Phone: 617-471-8400
  • Fax: 617-845-9255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6561
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: