Healthcare Provider Details

I. General information

NPI: 1699607655
Provider Name (Legal Business Name): SARAH BOUGHTON MHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 N FRONT ST STE 1802
KINGSTON NY
12401-3814
US

IV. Provider business mailing address

1 MILLER LN
NEW PALTZ NY
12561-4437
US

V. Phone/Fax

Practice location:
  • Phone: 845-243-7789
  • Fax:
Mailing address:
  • Phone: 917-703-2749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP142807
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: