Healthcare Provider Details

I. General information

NPI: 1801543715
Provider Name (Legal Business Name): SARA ANNE BRADY BA, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2022
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date: 04/01/2025
Reactivation Date: 04/21/2026

III. Provider practice location address

1513 HARRISON AVE STE A12
ELKINS WV
26241-3356
US

IV. Provider business mailing address

1513 HARRISON AVE STE A12
ELKINS WV
26241-3356
US

V. Phone/Fax

Practice location:
  • Phone: 304-553-7063
  • Fax: 304-591-1038
Mailing address:
  • Phone: 304-553-7063
  • Fax: 304-591-1038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: