Basic Information
Provider Information
NPI: 1639551021
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCNATT
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SCULLY
OtherFirstName: SARAH
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 5
Mailing Information
Address1: 100 NEW SALEM RD
Address2: SUITE 116
City: UNIONTOWN
State: PA
PostalCode: 154018936
CountryCode: US
TelephoneNumber: 7244370729
FaxNumber: 7244372761
Practice Location
Address1: 125 CHAFFEE ST
Address2:  
City: UNIONTOWN
State: PA
PostalCode: 154014605
CountryCode: US
TelephoneNumber: 7244370729
FaxNumber: 7244372761
Other Information
ProviderEnumerationDate: 06/23/2015
LastUpdateDate: 06/09/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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