Provider Demographics
NPI:1033929526
Name:DEMPSEY, SARAH IRENE (SWLC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:IRENE
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 591
Mailing Address - Street 2:
Mailing Address - City:ST IGNATIUS
Mailing Address - State:MT
Mailing Address - Zip Code:59865-0591
Mailing Address - Country:US
Mailing Address - Phone:406-393-9191
Mailing Address - Fax:
Practice Address - Street 1:107 1ST AVE
Practice Address - Street 2:
Practice Address - City:ST IGNATIUS
Practice Address - State:MT
Practice Address - Zip Code:59865-7748
Practice Address - Country:US
Practice Address - Phone:406-393-9191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-SWLC-LIC-72473101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health