Provider Demographics
NPI:1053946640
Name:SARAH SAFFRAN LLC
Entity type:Organization
Organization Name:SARAH SAFFRAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLO PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFFRAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPAT, LCPC
Authorized Official - Phone:443-470-3505
Mailing Address - Street 1:2 BRECON PL
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2308
Mailing Address - Country:US
Mailing Address - Phone:845-341-3705
Mailing Address - Fax:
Practice Address - Street 1:30 E PADONIA RD STE 202
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2308
Practice Address - Country:US
Practice Address - Phone:443-470-3505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SARAH SAFFRAN LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health