Provider Demographics
NPI:1811583933
Name:SEAT OF SELF LLC
Entity Type:Organization
Organization Name:SEAT OF SELF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:DESCHENES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LCPC, RYT-200
Authorized Official - Phone:508-981-6663
Mailing Address - Street 1:12 GIRARD WAY
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-2107
Mailing Address - Country:US
Mailing Address - Phone:508-981-6663
Mailing Address - Fax:
Practice Address - Street 1:12 GIRARD WAY
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-2107
Practice Address - Country:US
Practice Address - Phone:508-981-6663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-13
Last Update Date:2020-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty