Provider Demographics
NPI:1831993179
Name:LEVIN GOODSTINE, SARAH (MA, EDS, LAC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LEVIN GOODSTINE
Suffix:
Gender:F
Credentials:MA, EDS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 TILTON RD STE 28
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1201
Mailing Address - Country:US
Mailing Address - Phone:646-335-3989
Mailing Address - Fax:
Practice Address - Street 1:331 TILTON RD STE 28
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1201
Practice Address - Country:US
Practice Address - Phone:609-833-1644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00860200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health