Provider Demographics
NPI:1457785644
Name:ENGLISH, SARA JORINE (BA)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:JORINE
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7468 STATE HIGHWAY 215 N
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:SC
Mailing Address - Zip Code:29015-9228
Mailing Address - Country:US
Mailing Address - Phone:803-712-1319
Mailing Address - Fax:
Practice Address - Street 1:301 PALMETTO PARK BLVD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7872
Practice Address - Country:US
Practice Address - Phone:803-996-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-24
Last Update Date:2013-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health