Provider Demographics
NPI:1326481169
Name:SCHRECENGOST, SARA A (PCC-S)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:A
Last Name:SCHRECENGOST
Suffix:
Gender:F
Credentials:PCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28922 LORAIN RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-4047
Mailing Address - Country:US
Mailing Address - Phone:440-360-7500
Mailing Address - Fax:440-360-7505
Practice Address - Street 1:28922 LORAIN RD STE 201
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-4047
Practice Address - Country:US
Practice Address - Phone:440-360-7500
Practice Address - Fax:440-360-7505
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0900049101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional