Provider Demographics
NPI:1235963117
Name:SARAH REILLY, LLC
Entity type:Organization
Organization Name:SARAH REILLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:859-429-1609
Mailing Address - Street 1:71 CAVALIER BLVD STE 328
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-5171
Mailing Address - Country:US
Mailing Address - Phone:859-429-1609
Mailing Address - Fax:
Practice Address - Street 1:71 CAVALIER BLVD STE 328
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-5171
Practice Address - Country:US
Practice Address - Phone:859-429-1609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty