Provider Demographics
NPI:1871259952
Name:SARAH BAUM MARRIAGE AND FAMILY THERAPY
Entity type:Organization
Organization Name:SARAH BAUM MARRIAGE AND FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFT
Authorized Official - Phone:714-642-1147
Mailing Address - Street 1:7633 E ACOMA DR STE 210
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2908
Mailing Address - Country:US
Mailing Address - Phone:714-642-1147
Mailing Address - Fax:
Practice Address - Street 1:7633 E ACOMA DR STE 210
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2908
Practice Address - Country:US
Practice Address - Phone:714-642-1147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1538358130OtherNPI