Provider Demographics
NPI:1902111354
Name:FALO, SARAHBEAN (LMHC,LCAT)
Entity Type:Individual
Prefix:MS
First Name:SARAHBEAN
Middle Name:
Last Name:FALO
Suffix:
Gender:F
Credentials:LMHC,LCAT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:FALO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC,LCAT
Mailing Address - Street 1:P.O. BOX 477
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478
Mailing Address - Country:US
Mailing Address - Phone:617-286-2823
Mailing Address - Fax:
Practice Address - Street 1:2000 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE #4
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140
Practice Address - Country:US
Practice Address - Phone:617-286-2823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12169101YM0800X
NY001603221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist