Hernandez, Sarah

Hernandez, Sarah is an sole proprietor health care provider with primary practice located at 1908 Jennie Lee Dr , Idaho Falls ID 83404-6159. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hernandez, Sarah can be contacted via phone (208) 932-7048.

Contact Information

Primary practice address
1908 Jennie Lee Dr Idaho Falls ID 83404-6159
Phone: (208) 932-7048
Fax: (208) 970-6188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X LMSW-33381 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1184022493
LBN Legal business name Hernandez, Sarah
Credentials LCSW-36400
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2014
Last updated Aug 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184022493 NPPES
Idaho MEDICAID 1184022493

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