Provider Demographics
NPI:1093182826
Name:SAGE SERVICES LLC
Entity Type:Organization
Organization Name:SAGE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:573-517-3951
Mailing Address - Street 1:17 E SAINT JOSEPH ST
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63775-2016
Mailing Address - Country:US
Mailing Address - Phone:573-517-3951
Mailing Address - Fax:866-517-0663
Practice Address - Street 1:17 E SAINT JOSEPH ST
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MO
Practice Address - Zip Code:63775-2016
Practice Address - Country:US
Practice Address - Phone:573-517-3951
Practice Address - Fax:866-517-0663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006009196101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490788601Medicaid
MO11990734OtherCAQH