Healthcare Provider Details

I. General information

NPI: 1407057698
Provider Name (Legal Business Name): SARAH TAYLOR MACRINA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 MELROSE ST
PROVIDENCE RI
02907-2152
US

IV. Provider business mailing address

280 MELROSE ST
PROVIDENCE RI
02907-2152
US

V. Phone/Fax

Practice location:
  • Phone: 401-261-0611
  • Fax:
Mailing address:
  • Phone: 401-415-7259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020488
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39005974A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10005886
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC00260
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: