1740842103 NPI number — SARAH CURRIER HOLBROOK M.ED., LMHC

Table of content: SARAH CURRIER HOLBROOK M.ED., LMHC (NPI 1740842103)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740842103 NPI number — SARAH CURRIER HOLBROOK M.ED., LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOLBROOK
Provider First Name:
SARAH
Provider Middle Name:
CURRIER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.ED., LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LORD
Provider Other First Name:
SARAH
Provider Other Middle Name:
CURRIER
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1740842103
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/05/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
42D INDIAN CAMP LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01773-1119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-771-4442
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
594 MARRETT RD STE 20
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02421-7605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
339-213-8253
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/05/2019

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:  11289 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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