Provider Demographics
NPI:1871326918
Name:MARION, SARAH GIROUX
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:GIROUX
Last Name:MARION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6628 COOL WATER CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-2737
Mailing Address - Country:US
Mailing Address - Phone:413-552-6987
Mailing Address - Fax:
Practice Address - Street 1:5950 FAIRVIEW RD STE 150
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3182
Practice Address - Country:US
Practice Address - Phone:704-457-8222
Practice Address - Fax:833-230-5606
Is Sole Proprietor?:No
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0197581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical