Healthcare Provider Details

I. General information

NPI: 1184535767
Provider Name (Legal Business Name): SARAH ANNE GATLIN LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 W SUPERIOR ST STE 300
DULUTH MN
55802
US

IV. Provider business mailing address

324 W. SUPERIOR ST. #300
DULUTH MN
55802
US

V. Phone/Fax

Practice location:
  • Phone: 218-336-9300
  • Fax:
Mailing address:
  • Phone: 218-336-9300
  • Fax: 218-481-7360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number307208
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: