Provider Demographics
NPI:1740842103
Name:HOLBROOK, SARAH CURRIER (MED, LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CURRIER
Last Name:HOLBROOK
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:CURRIER
Other - Last Name:LORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42D INDIAN CAMP LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:MA
Mailing Address - Zip Code:01773-1119
Mailing Address - Country:US
Mailing Address - Phone:781-771-4442
Mailing Address - Fax:
Practice Address - Street 1:594 MARRETT RD STE 20
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7605
Practice Address - Country:US
Practice Address - Phone:339-213-8253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11289101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health