Provider Demographics
NPI:1477869915
Name:RECH, SARAH MANIKAS (ALC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MANIKAS
Last Name:RECH
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 210442
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36121-0442
Mailing Address - Country:US
Mailing Address - Phone:334-549-1112
Mailing Address - Fax:
Practice Address - Street 1:5295 VAUGHN RD
Practice Address - Street 2:#17
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-1172
Practice Address - Country:US
Practice Address - Phone:334-549-1112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-22
Last Update Date:2010-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional