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NPI Code Detail

MEDICARE: SARAH MARTIN

MEDICARE: SARAH MARTIN
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
1101YM0800XMental Health Counselor5970LA

General Provider Information

NPI Number : 1972972255
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MARTIN
Provider Business Mailing Address
First Line : 113 FLAGG PL STE 6B
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-7025
Country : US
Telephone Number : 504-442-1163
Fax Number :
Provider Business Practice Location Address
First Line : 113 FLAGG PL STE 6B
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-7025
Country : US
Telephone Number : 504-442-1163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2015
Last Update Date : 04/28/2025

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Directions to “ SARAH MARTIN ” Practice Location

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