Healthcare Provider Details

I. General information

NPI: 1902737000
Provider Name (Legal Business Name): SARA BURK-POWELL
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 S 4TH ST
EMMAUS PA
18049-2733
US

IV. Provider business mailing address

20 S 4TH ST
EMMAUS PA
18049-2733
US

V. Phone/Fax

Practice location:
  • Phone: 610-953-7337
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC017207
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: