SARA MICHELLE ELLSWORTH MA
NPI 1205150687
Counselor - Mental Health in Olympia, WA
Active since March 15, 2010
3624 ENSIGN RD NE, SUITE 5, OLYMPIA, WA 98506(360) 412-7950(360) 532-0061 Get Directions Write a Review
About Sara Michelle Ellsworth Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA MICHELLE ELLSWORTH MA (NPI 1205150687) is an individual mental health provider in Olympia, Washington, licensed in Washington (LH00010745) and active in the NPI registry since March 2010.
NPPES Registry Identity
NPI1205150687
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARA MICHELLE ELLSWORTHCredential: MA
Location Address3624 ENSIGN RD NE, SUITE 5Olympia, WA 98506-5074
Mailing Address1498 Skyline Ridge Ln SwTumwater, WA 98512-0413 · (360) 888-5033 · Fax (360) 532-0061
Phone(360) 412-7950
Fax(360) 532-0061
Sole ProprietorYes
Enumeration DateMarch 15, 2010
✔ NPI 1205150687 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 WA · LH00010745
3624 ENSIGN RD NE, Olympia, WA 98506
Other Names 1
Former Name (1)Sara Michelle Anderson Ma
Other Providers at the Same Location NPPES 18
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 1205150687, enumerated as an "individual" on March 15, 2010.
The provider is located at 3624 ENSIGN RD NE SUITE 5 OLYMPIA, WA 98506 and the phone number is (360) 412-7950.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
