Provider Demographics
NPI:1477138469
Name:BUDDIN, SARAH MARIE BLACK (M ED, LCMHC, RPT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MARIE BLACK
Last Name:BUDDIN
Suffix:
Gender:
Credentials:M ED, LCMHC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3824 N ELM ST STE 102
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-2734
Mailing Address - Country:US
Mailing Address - Phone:336-265-6330
Mailing Address - Fax:
Practice Address - Street 1:3824 N ELM ST STE 102
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-2734
Practice Address - Country:US
Practice Address - Phone:336-265-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16212101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health