Provider Demographics
NPI:1134837123
Name:MCCANN, SARAH KELLIHER (LMHC, LPC, NCC, MSED)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:KELLIHER
Last Name:MCCANN
Suffix:
Gender:F
Credentials:LMHC, LPC, NCC, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 SOUTH ST # MS 061
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-2700
Mailing Address - Country:US
Mailing Address - Phone:781-736-7720
Mailing Address - Fax:
Practice Address - Street 1:415 SOUTH ST # MS 061
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-2700
Practice Address - Country:US
Practice Address - Phone:781-736-7720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YS0200X
PAPC009144101YP2500X
MALMHC10000253101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool