Healthcare Provider Details

I. General information

NPI: 1710366794
Provider Name (Legal Business Name): SARAH MELLO LPC, ACS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2015
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 HADDON AVE STE 1
HADDON TOWNSHIP NJ
08108-2816
US

IV. Provider business mailing address

210 HADDON AVE STE 1
HADDON TOWNSHIP NJ
08108-2816
US

V. Phone/Fax

Practice location:
  • Phone: 609-566-8607
  • Fax:
Mailing address:
  • Phone: 609-566-8607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00607500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: