Healthcare Provider Details

I. General information

NPI: 1215617253
Provider Name (Legal Business Name): SABRINA JACQUELINE BARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 RIVER ST STE 306
HOBOKEN NJ
07030-5619
US

IV. Provider business mailing address

80 RIVER ST STE 306
HOBOKEN NJ
07030-5619
US

V. Phone/Fax

Practice location:
  • Phone: 201-565-2275
  • Fax:
Mailing address:
  • Phone: 201-565-2275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01209600
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: