Basic Information
| Provider Information | |||||||||
| NPI: | 1699864314 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEIN | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | JOSEPHINE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3345 COLUMBIA WOODS DR | ||||||||
| Address2: | SUITE D | ||||||||
| City: | NORTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442035770 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7405077621 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 282 W BOWERY ST | ||||||||
| Address2: | |||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443072573 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3309964600 | ||||||||
| FaxNumber: | 3306430767 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2006 | ||||||||
| LastUpdateDate: | 04/08/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | C0501058 | OH | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | E.0501058 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.