Provider Demographics
NPI:1861820532
Name:BAIRD, SARAH (LMHC, ATR, NCC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:LMHC, ATR, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 E 3RD ST # 1081
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-5434
Mailing Address - Country:US
Mailing Address - Phone:812-269-2634
Mailing Address - Fax:
Practice Address - Street 1:804 N COLLEGE AVE STE 102
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-3599
Practice Address - Country:US
Practice Address - Phone:812-269-2634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002515A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health