Healthcare Provider Details

I. General information

NPI: 1720501372
Provider Name (Legal Business Name): SARA LINDSEY MCFARLANE MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 07/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 MIGUEL CHAVEZ RD STE F
SANTA FE NM
87505-7010
US

IV. Provider business mailing address

1302 MACLOVIA ST
SANTA FE NM
87505-3243
US

V. Phone/Fax

Practice location:
  • Phone: 877-499-1354
  • Fax: 888-636-7582
Mailing address:
  • Phone:
  • Fax: 888-636-7582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number189931
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: