Provider Demographics
NPI:1326603242
Name:BERRO, SARAH (LCMHCA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:BERRO
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 CINNAMON DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8236
Mailing Address - Country:US
Mailing Address - Phone:859-519-0053
Mailing Address - Fax:
Practice Address - Street 1:3622 LYCKAN PKWY STE 3002
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2572
Practice Address - Country:US
Practice Address - Phone:919-974-7970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15152101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health