Provider Demographics
NPI:1184519043
Name:EQUESTRIAN THERAPY PROGRAM
Entity type:Organization
Organization Name:EQUESTRIAN THERAPY PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS-SABOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-657-2700
Mailing Address - Street 1:22532 BOWSHER RD
Mailing Address - Street 2:
Mailing Address - City:CRIDERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45806-9511
Mailing Address - Country:US
Mailing Address - Phone:419-657-2700
Mailing Address - Fax:
Practice Address - Street 1:22532 BOWSHER RD
Practice Address - Street 2:
Practice Address - City:CRIDERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45806-9511
Practice Address - Country:US
Practice Address - Phone:419-657-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty