Provider Demographics
NPI:1376915801
Name:BREVICK, SARAH I (LMHC, LCPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:I
Last Name:BREVICK
Suffix:
Gender:F
Credentials:LMHC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 REGENCY DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-3845
Mailing Address - Country:US
Mailing Address - Phone:413-214-2331
Mailing Address - Fax:
Practice Address - Street 1:195 MCGREGOR ST STE 319
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3749
Practice Address - Country:US
Practice Address - Phone:603-669-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC7080101YM0800X
MALMHC11888101YM0800X
NHMHC01755101YM0800X
NH2355101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health