Basic Information
| Provider Information | |||||||||
| NPI: | 1780165027 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADAMS | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | CDCA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4221 STATE ROUTE 1 | ||||||||
| Address2: | |||||||||
| City: | GREENUP | ||||||||
| State: | KY | ||||||||
| PostalCode: | 411447978 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6063719288 | ||||||||
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| Practice Location | |||||||||
| Address1: | 49 TOWNSHIP ROAD 365 | ||||||||
| Address2: | |||||||||
| City: | SOUTH POINT | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456809409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404510221 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2018 | ||||||||
| LastUpdateDate: | 08/24/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | CDCA.164906 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.