Provider Demographics
NPI:1447979604
Name:SANCHEZ, SARAH THERESA
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:THERESA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:41097-1009
Mailing Address - Country:US
Mailing Address - Phone:859-588-1439
Mailing Address - Fax:
Practice Address - Street 1:8857 CINCINNATI DAYTON RD STE 202
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-3192
Practice Address - Country:US
Practice Address - Phone:513-426-6248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health