Provider Demographics
NPI:1659891612
Name:FEASTER, SARAH (LMSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FEASTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 E 8TH ST
Mailing Address - Street 2:STE 3
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-3079
Mailing Address - Country:US
Mailing Address - Phone:616-537-2772
Mailing Address - Fax:616-226-4645
Practice Address - Street 1:720 E 8TH ST
Practice Address - Street 2:STE 3
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3079
Practice Address - Country:US
Practice Address - Phone:616-537-2772
Practice Address - Fax:616-226-4645
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010919281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical