Provider Demographics
NPI:1346003845
Name:MELTZER, SARA PAIGE (LMHC-LP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:PAIGE
Last Name:MELTZER
Suffix:
Gender:F
Credentials:LMHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 WORTH ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3485
Mailing Address - Country:US
Mailing Address - Phone:347-712-7245
Mailing Address - Fax:
Practice Address - Street 1:11 BROADWAY STE 1168
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1326
Practice Address - Country:US
Practice Address - Phone:212-320-2216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP119162101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health