Healthcare Provider Details
I. General information
NPI: 1831006063
Provider Name (Legal Business Name): SARA JO REMINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
489 MAPLE ST
WARMINSTER PA
18974-4609
US
IV. Provider business mailing address
109 STARBOARD VILLA APT 103
GREENSBURG PA
15601-5880
US
V. Phone/Fax
- Phone: 267-494-6561
- Fax:
- Phone: 724-208-4977
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | PC020915 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: