1699937060 NPI number — SARA LINDSEY BROWN MA, LCMHC

Table of content: SARA LINDSEY BROWN MA, LCMHC (NPI 1699937060)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699937060 NPI number — SARA LINDSEY BROWN MA, LCMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
SARA
Provider Middle Name:
LINDSEY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA, LCMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GRAY
Provider Other First Name:
SARA
Provider Other Middle Name:
LINDSEY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, LCMHC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1699937060
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
284 CENTER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOLFEBORO
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03894-4811
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-832-4870
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
284 CENTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOLFEBORO
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03894-4811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-832-4870
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/27/2008

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: 101YM0800X , with the licence number:  1191 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 99003227 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7706655Y0NH01 . This is a "BHN" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com