Provider Demographics
NPI:1164151148
Name:SARAH CHALMERS THERAPY PLLC
Entity Type:Organization
Organization Name:SARAH CHALMERS THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHALMERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:248-892-4462
Mailing Address - Street 1:136 E SAN ANTONIO ST STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-5509
Mailing Address - Country:US
Mailing Address - Phone:248-892-4462
Mailing Address - Fax:
Practice Address - Street 1:136 E SAN ANTONIO ST STE 103
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-5509
Practice Address - Country:US
Practice Address - Phone:248-892-4462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health