Provider Demographics
NPI:1356913032
Name:SAINE, PAYTON BROOKE (LCMHCA)
Entity type:Individual
Prefix:
First Name:PAYTON
Middle Name:BROOKE
Last Name:SAINE
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 RUTHERFORD RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-4894
Mailing Address - Country:US
Mailing Address - Phone:828-652-1517
Mailing Address - Fax:
Practice Address - Street 1:2301 RUTHERFORD RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-4894
Practice Address - Country:US
Practice Address - Phone:828-652-1517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16727101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health