Active NPIIndividual providerSole proprietor

Ms. Sally Burke, LCMHC, MLADC, SEP

Counselor, Mental Health in Lebanon, New Hampshire

NPI Number1144557158
Practice location
20 West Park Street, Suite #308, Lebanon, NH 03766-0000
Fax
—
Last updated
December 8, 2020

Sally Burke is a Counselor, Mental Health based in Lebanon, NH. Sally Burke practices in Lebanon, NH and has the professional credentials of LCMHC, MLADC, SEP. The NPI Number for Sally Burke is 1144557158 and holds a License No. 0548 (NH). The current practice location address for Sally Burke is 20 West Park Street, Suite #308, Lebanon, NH 03766-0000 and can be reached out via phone at 603-667-8567.

Provider Profile Details

NPI Number
1144557158
Provider Name
Sally Burke
Credential
LCMHC, MLADC, SEP
Provider Entity Type
Individual
Gender
Female
Address
20 West Park Street, Suite #308, Lebanon, NH 03766-0000
Phone Number
603-667-8567
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Other Names
Ms. Sandy Burke, LCMHC, MLADC, SEP (Other Name)
Provider Enumeration Date
November 11, 2009
Last Update Date
December 8, 2020
Certification Date
December 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 West Park Street
Suite #308
Lebanon, NH 03766-0000
Zip
03766-0000
Phone Number
603-667-8567
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
20 W Park St
Suite #308
Lebanon, NH 03766-0000
City
Lebanon
State
NH
Zip
03766-0000
Phone Number
603-667-8567

License Information

License Number (1)
0548
License State (1)
NH
License Number (2)
960
License State (2)
NH
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Sally Burke, LCMHC, MLADC, SEP?

The NPI number of Ms. Sally Burke, LCMHC, MLADC, SEP is 1144557158. It was assigned on November 11, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Sally Burke, LCMHC, MLADC, SEP?

Ms. Sally Burke, LCMHC, MLADC, SEP is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NH under license number 0548.

Where does Ms. Sally Burke, LCMHC, MLADC, SEP practice?

The practice location is 20 West Park Street, Suite #308, Lebanon, NH 03766-0000. The office can be reached at 603-667-8567 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144557158 directly on the NPPES registry website.

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