Healthcare Provider Details

I. General information

NPI: 1801734876
Provider Name (Legal Business Name): SARAH COUTURE LCAT, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 MERRICK AVE STE 30
MERRICK NY
11566-3406
US

IV. Provider business mailing address

160 POPLAR ST
GARDEN CITY NY
11530-6536
US

V. Phone/Fax

Practice location:
  • Phone: 516-308-6677
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number003255
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: