Healthcare Provider Details

I. General information

NPI: 1821336702
Provider Name (Legal Business Name): SARAH HANLIN ANDERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2013
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 W TRADE ST
SIMPSONVILLE SC
29681-2609
US

IV. Provider business mailing address

307 HYDE PARK LN
MAULDIN SC
29662-3174
US

V. Phone/Fax

Practice location:
  • Phone: 864-907-9159
  • Fax:
Mailing address:
  • Phone: 864-907-9159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6449
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number290
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: