SARA BOOTHE
NPI 1073138830
Counselor - Mental Health in Alexandria, VA
Active since June 08, 2020
About Sara Boothe NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA BOOTHE (NPI 1073138830) is an individual mental health provider in Alexandria, Virginia, licensed in Virginia (0704012977) and active in the NPI registry since June 2020. She maintains a secondary practice location in Alexandria.
NPPES Registry Identity
NPI1073138830
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARA BOOTHE
Location Address112 S PITT STAlexandria, VA 22314-3112
Mailing Address112 S Pitt StAlexandria, VA 22314-3112 · (301) 541-3224
Phone(301) 541-3224
Sole ProprietorYes
Enumeration DateJune 8, 2020
NPPES CertifiedJune 8, 2020
✔ NPI 1073138830 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0704012977
112 S PITT ST, Alexandria, VA 22314
Secondary Practice Location 1
Location 1209 Madison StAlexandria, VA 22314-1764 · Phone (703) 988-3475
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073138830, enumerated as an "individual" on June 08, 2020.
The provider is located at 112 S PITT ST ALEXANDRIA, VA 22314 and the phone number is (301) 541-3224.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.