Provider Demographics
NPI:1033688783
Name:SARAH DIEHL THERAPY, LLC
Entity Type:Organization
Organization Name:SARAH DIEHL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-382-9800
Mailing Address - Street 1:804 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2209
Mailing Address - Country:US
Mailing Address - Phone:410-382-9800
Mailing Address - Fax:
Practice Address - Street 1:1702 SOUTH RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-4504
Practice Address - Country:US
Practice Address - Phone:410-382-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-23
Last Update Date:2018-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health