Doctor Name: | SARAH IRVIN |
NPI Number: | 1760807663 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 100 Old Sturgis Rd Ackerman, MS - 397356600 |
Business Phone Number: | 6622856225 |
Business Fax Number: | 6622856226 |
Mailing Address: | 1032 State Hwy 50w, WEST POINT |
State: | MS |
Postal Code: | 39777 |
Phone Number: | 6625244347 |
Fax Number: | 6962524436 |
NPI Enumeration Date: | 02/28/2014 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |