Provider Demographics
NPI:1558066480
Name:MEUTH, SARA MELISSA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MELISSA
Last Name:MEUTH
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 1:955 S HEBRON AVE STE C
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-4085
Mailing Address - Country:US
Mailing Address - Phone:270-860-0260
Mailing Address - Fax:
Practice Address - Street 1:955 S HEBRON AVE STE C
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-4085
Practice Address - Country:US
Practice Address - Phone:270-860-0260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99117051A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical