Provider Demographics
NPI:1366332611
Name:MEAGHER, SARAH RENEE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:RENEE
Last Name:MEAGHER
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 1:400 CONLEY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:DEER LODGE
Mailing Address - State:MT
Mailing Address - Zip Code:59722-8708
Mailing Address - Country:US
Mailing Address - Phone:406-465-7873
Mailing Address - Fax:406-415-6221
Practice Address - Street 1:400 CONLEY LAKE RD
Practice Address - Street 2:
Practice Address - City:DEER LODGE
Practice Address - State:MT
Practice Address - Zip Code:59722-8708
Practice Address - Country:US
Practice Address - Phone:406-415-6221
Practice Address - Fax:406-415-6584
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT64894101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)