Healthcare Provider Details

I. General information

NPI: 1205754942
Provider Name (Legal Business Name): MS. SARA MADISON COHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

400 TRADECENTER STE 5879
WOBURN MA
01801-7452
US

IV. Provider business mailing address

1340 COMMONWEALTH AVE APT 12A
ALLSTON MA
02134-3922
US

V. Phone/Fax

Practice location:
  • Phone: 301-556-6256
  • Fax:
Mailing address:
  • Phone: 301-556-6256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10006687
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: