Healthcare Provider Details

I. General information

NPI: 1134057367
Provider Name (Legal Business Name): SARAH HEINRICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 HEARTWOOD LN
MINT HILL NC
28227-4143
US

IV. Provider business mailing address

401 HAWTHORNE LN STE 110327
CHARLOTTE NC
28204-2484
US

V. Phone/Fax

Practice location:
  • Phone: 704-965-0725
  • Fax: 704-496-4864
Mailing address:
  • Phone: 704-965-0275
  • Fax: 704-496-4864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: