Provider Demographics
NPI:1932722824
Name:BARKS, SARAH MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:BARKS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 HUDSON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6670
Mailing Address - Country:US
Mailing Address - Phone:201-481-8733
Mailing Address - Fax:
Practice Address - Street 1:426 HUDSON ST STE 2
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6670
Practice Address - Country:US
Practice Address - Phone:201-481-8733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00696900101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor