Healthcare Provider Details

I. General information

NPI: 1326959842
Provider Name (Legal Business Name): SARA FROST PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 HANWORTH LN
DANIELS WV
25832-9029
US

IV. Provider business mailing address

129 HANWORTH LN
DANIELS WV
25832-9029
US

V. Phone/Fax

Practice location:
  • Phone: 304-719-8684
  • Fax:
Mailing address:
  • Phone: 304-719-8684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARA E H FROST
Title or Position: OWNER
Credential: LPC, ADC, NCC, ALPS
Phone: 304-719-8684