Provider Demographics
NPI:1659091304
Name:SAGE WILLOW MIDWIFERY & WELLNESS PLC
Entity Type:Organization
Organization Name:SAGE WILLOW MIDWIFERY & WELLNESS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CNM
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LACHANT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CNM
Authorized Official - Phone:802-755-7340
Mailing Address - Street 1:4732 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER CENTER
Mailing Address - State:VT
Mailing Address - Zip Code:05255-8406
Mailing Address - Country:US
Mailing Address - Phone:802-755-7340
Mailing Address - Fax:
Practice Address - Street 1:4732E MAIN ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER CENTER
Practice Address - State:VT
Practice Address - Zip Code:05255-4412
Practice Address - Country:US
Practice Address - Phone:802-379-5304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty