Provider Demographics
NPI:1366078545
Name:REIN, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:REIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2715 BULLIS AVE
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39501-5233
Mailing Address - Country:US
Mailing Address - Phone:228-220-4226
Mailing Address - Fax:
Practice Address - Street 1:2715 BULLIS AVE
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501-5233
Practice Address - Country:US
Practice Address - Phone:228-220-4226
Practice Address - Fax:228-220-4303
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist