Healthcare Provider Details

I. General information

NPI: 1982183927
Provider Name (Legal Business Name): SARAH D COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2018
Last Update Date: 08/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 N MAIN ST STE 3
BARRE VT
05641-4503
US

IV. Provider business mailing address

225 KIBBEE RD
BROOKFIELD VT
05036-9611
US

V. Phone/Fax

Practice location:
  • Phone: 802-522-5393
  • Fax:
Mailing address:
  • Phone: 802-522-5393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number089.0118448
License Number StateVT

VIII. Authorized Official

Name: SARAH D DEMPSEY
Title or Position: SOLE OWNER
Credential: LICSW
Phone: 802-522-5393