Provider Demographics
NPI:1922614247
Name:GREENSPAN, SARAH (LMHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:GREENSPAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S MAIN ST # 1036
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4907
Mailing Address - Country:US
Mailing Address - Phone:802-417-2203
Mailing Address - Fax:
Practice Address - Street 1:1150 SHUNPIKE RD
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:VT
Practice Address - Zip Code:05738-9713
Practice Address - Country:US
Practice Address - Phone:571-286-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-22
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0134254101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health