Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Performance Sanctuary Counseling LCSW, PLLC

Organization Clinical Social Worker · NPI 1548139884

Performance Sanctuary Counseling LCSW, PLLC is a Clinical Social Worker in Ballston Spa, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Prospect St Ste 212
Ballston Spa, NY 12020-1375
Phone: (518) 810-6446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1548139884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachel Moore — Owner · (518) 810-6446
NPI enumeratedNovember 4, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address20 Prospect St Ste 212, Ballston Spa, NY 12020-1375

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