Sarah Lynn Eisenhauer, MA

Individual provider Active NPI Counselor · Black Mountain, NC

NPI 1508190026 · NPPES record last updated Jan 29, 2013

Key facts

NPI
1508190026
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
932 Old US 70 W
Black Mountain, NC 28711-2547
Phone
(828) 669-4161
Fax
(828) 669-4164
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

932 Old US 70 W
Black Mountain, NC 28711-2547

Mailing address

665 W 4TH St
Winston Salem, NC 27101-2701
Phone (828) 669-4161

Other identifiers

IdentifierTypeStateIssuer
2567OtherNCNORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD

Other providers in Black Mountain, NC

All providers in Black Mountain, NC · Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.