Provider Demographics
NPI:1013744069
Name:MOHAN, SARAH LYNN (MHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:MOHAN
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 FRANKLIN ST APT 314
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14604-1003
Mailing Address - Country:US
Mailing Address - Phone:585-645-5856
Mailing Address - Fax:
Practice Address - Street 1:25 FRANKLIN ST APT 314
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14604-1003
Practice Address - Country:US
Practice Address - Phone:585-645-5856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP130953101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health