Provider Demographics
NPI:1871382523
Name:LANDRY, SARAH (LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LANDRY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:BILTCLIFFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:777 DICKINSON ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-4533
Mailing Address - Country:US
Mailing Address - Phone:508-642-1044
Mailing Address - Fax:
Practice Address - Street 1:777 DICKINSON ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-4533
Practice Address - Country:US
Practice Address - Phone:508-642-1044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA522774101YS0200X
MA10003100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool