Edwards, Sara Dominica
Edwards, Sara Dominica is an sole proprietor health care provider with primary practice located at 227 W Broad St Ste 104 , Bethlehem PA 18018-5570. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Edwards, Sara Dominica can be contacted via phone (657) 235-2656.Contact Information
Primary practice address
227 W Broad St Ste 104
Bethlehem PA 18018-5570
Phone: (657) 235-2656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0018361 | Colorado |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CTB-2022-0210 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00932000 | New Jersey |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC011605 | Pennsylvania |
Profile Details
| NPI number | 1124564216 |
|---|---|
| LBN Legal business name | Edwards, Sara Dominica |
| Credentials | M.ED., M.ED., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2017 |
| Last updated | Dec 29th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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