Provider Demographics
NPI:1396381356
Name:SARAH'S HOUSE MENTAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:SARAH'S HOUSE MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:410-225-3101
Mailing Address - Street 1:2901 DRUID PARK DR STE A208
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-8136
Mailing Address - Country:US
Mailing Address - Phone:410-225-3101
Mailing Address - Fax:410-225-3104
Practice Address - Street 1:2901 DRUID PARK DR STE A201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-8130
Practice Address - Country:US
Practice Address - Phone:410-977-0211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)