Provider Demographics
NPI:1548796048
Name:SARAH EVELYN ART THERAPY
Entity Type:Organization
Organization Name:SARAH EVELYN ART THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:EVELYN
Authorized Official - Last Name:MAYS-SUTOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCPCC, LCAT, ATR-BC
Authorized Official - Phone:615-319-7980
Mailing Address - Street 1:50 PRIDE ST
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-3619
Mailing Address - Country:US
Mailing Address - Phone:615-319-7980
Mailing Address - Fax:
Practice Address - Street 1:50 PRIDE ST
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-3619
Practice Address - Country:US
Practice Address - Phone:615-319-7980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4422101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty