Provider Demographics
NPI:1598477606
Name:SARA ELIAS LLC
Entity Type:Organization
Organization Name:SARA ELIAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIAS
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:614-582-2577
Mailing Address - Street 1:8721 DORR ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-1921
Mailing Address - Country:US
Mailing Address - Phone:614-582-2577
Mailing Address - Fax:419-671-8026
Practice Address - Street 1:3335 MEIJER DR STE 450
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-3122
Practice Address - Country:US
Practice Address - Phone:614-582-2577
Practice Address - Fax:419-671-8026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty