MEDICARE: SARAH LANDRY LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor	522774	MA
2	101YM0800X	Mental Health Counselor	10003100	MA

General Provider Information

NPI Number	:	1871382523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH LANDRY LMHC

Provider Business Mailing Address
First Line	:	777 DICKINSON ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-4533
Country	:	US
Telephone Number	:	508-642-1044
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 DICKINSON ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-4533
Country	:	US
Telephone Number	:	508-642-1044
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2025

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Directions to “ SARAH LANDRY LMHC” Practice Location

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