Provider Demographics
NPI:1558979146
Name:SARA CORREIA, M.ED, LADC-1, CADC, LLC
Entity Type:Organization
Organization Name:SARA CORREIA, M.ED, LADC-1, CADC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:CORREIA
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LADC-1, CADC
Authorized Official - Phone:351-222-2698
Mailing Address - Street 1:5 WALLACE ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-6425
Mailing Address - Country:US
Mailing Address - Phone:351-222-2698
Mailing Address - Fax:
Practice Address - Street 1:5 WALLACE ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-6425
Practice Address - Country:US
Practice Address - Phone:351-222-2698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty