1689892861 NPI number — MRS. SARAH ELIZABETH HIRSCH LPC, MHSP, NCC, MBA

Table of content: MRS. SARAH ELIZABETH HIRSCH LPC, MHSP, NCC, MBA (NPI 1689892861)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689892861 NPI number — MRS. SARAH ELIZABETH HIRSCH LPC, MHSP, NCC, MBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HIRSCH
Provider First Name:
SARAH
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC, MHSP, NCC, MBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689892861
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1101 6TH AVE N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37208-2650
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-463-6675
Provider Business Mailing Address Fax Number:
615-463-6603

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7100 COMMERCE WAY
Provider Second Line Business Practice Location Address:
SUITE 285
Provider Business Practice Location Address City Name:
BRENTWOOD
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37027-2829
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-782-3260
Provider Business Practice Location Address Fax Number:
615-782-7901
Provider Enumeration Date:
04/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  1644 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X , with the licence number: NCC 24321 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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