Provider Demographics
NPI:1730708900
Name:MACQUARRIE, SARAH MCAULIFFE (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MCAULIFFE
Last Name:MACQUARRIE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:SADIE
Other - Middle Name:MCAULIFFE
Other - Last Name:MACQUARRIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:190 E BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83712-6241
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1450 AVIATION DR STE 202
Practice Address - Street 2:
Practice Address - City:HAILEY
Practice Address - State:ID
Practice Address - Zip Code:83333-8785
Practice Address - Country:US
Practice Address - Phone:208-727-8970
Practice Address - Fax:208-727-8979
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-08
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
IDLPC-9545101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator