Provider Demographics
NPI:1235586827
Name:SARAH F. O'BRIEN LCSW LLC
Entity Type:Organization
Organization Name:SARAH F. O'BRIEN LCSW LLC
Other - Org Name:THRIVE & SHINE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E F
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:434-939-7085
Mailing Address - Street 1:8605 ROLANDO DR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5625
Mailing Address - Country:US
Mailing Address - Phone:434-939-7085
Mailing Address - Fax:804-729-3445
Practice Address - Street 1:8401 PATTERSON AVE
Practice Address - Street 2:G101
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-6430
Practice Address - Country:US
Practice Address - Phone:434-939-7085
Practice Address - Fax:804-729-3445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040086151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1134429400OtherNPI