Provider Demographics
NPI:1336646504
Name:EISINGER, SARAH BRIXNER (LMFT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BRIXNER
Last Name:EISINGER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 VILLAGE ST
Mailing Address - Street 2:
Mailing Address - City:NORTHFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06472-1303
Mailing Address - Country:US
Mailing Address - Phone:203-415-3144
Mailing Address - Fax:
Practice Address - Street 1:378 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3523
Practice Address - Country:US
Practice Address - Phone:203-415-3144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1977106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist