Healthcare Provider Details
I. General information
NPI: 1437675824
Provider Name (Legal Business Name): SARAH CLARKE MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/17/2017
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
332 HIDDEN HEIGHTS RD
CHESTER VT
05143-8342
US
IV. Provider business mailing address
332 HIDDEN HEIGHTS RD
CHESTER VT
05143-8342
US
V. Phone/Fax
- Phone: 802-216-0648
- Fax:
- Phone: 802-216-0648
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 068.0136611 |
| License Number State | VT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 5754 |
| License Number State | NH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 39002834A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: