| Sarah Mcvicar, Llc | |
| 10 Ashley Ln Portland ME 04103-2787 | |
| (603) 387-1386 | |
| Not Available | 
| Full Name | Sarah Mcvicar, Llc | 
|---|---|
| Speciality | Counselor | 
| Location | 10 Ashley Ln, Portland, Maine | 
| Authorized Official Name and Position | Sarah Mcvicar (OWNER) | 
| Authorized Official Contact | 6033871386 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sarah Mcvicar, Llc 10 Ashley Ln Portland ME 04103-2787 Ph: (603) 387-1386 | Sarah Mcvicar, Llc 10 Ashley Ln Portland ME 04103-2787 Ph: (603) 387-1386 | 
| NPI Number | 1275376857 | 
|---|---|
| Provider Enumeration Date | 06/13/2024 | 
| Last Update Date | 09/05/2024 | 
| Certification Date | 09/05/2024 | 
| Medicare PECOS PAC ID | 8628500733 | 
|---|---|
| Medicare Enrollment ID | O20241015000167 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275376857 | NPI | - | NPPES | 
| Provider Name | Sarah Malka Mcvicar | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1780282541 PECOS PAC ID: 9234679523 Enrollment ID: I20240913000214 | 
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