Healthcare Provider Details

I. General information

NPI: 1942645551
Provider Name (Legal Business Name): SARAH E MCCLANE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2013
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 POND VIEW RD
PETERSBURG NY
12138-5728
US

IV. Provider business mailing address

71 POND VIEW RD
PETERSBURG NY
12138-5728
US

V. Phone/Fax

Practice location:
  • Phone: 518-506-0346
  • Fax:
Mailing address:
  • Phone: 518-506-0346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP82205
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: