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 provides Clinical Social Worker services 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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