Provider Demographics
NPI:1417576919
Name:HINKLEY, SARAI LOUISE (LMHC, R-DMT)
Entity Type:Individual
Prefix:
First Name:SARAI
Middle Name:LOUISE
Last Name:HINKLEY
Suffix:
Gender:F
Credentials:LMHC, R-DMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:ADAMANT
Mailing Address - State:VT
Mailing Address - Zip Code:05640-0007
Mailing Address - Country:US
Mailing Address - Phone:339-235-0203
Mailing Address - Fax:
Practice Address - Street 1:412 ADAMANT RD
Practice Address - Street 2:
Practice Address - City:ADAMANT
Practice Address - State:VT
Practice Address - Zip Code:05640
Practice Address - Country:US
Practice Address - Phone:339-235-0203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10821101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health