Provider Demographics
NPI:1851086276
Name:SARA J. BREWER COUNSELING
Entity Type:Organization
Organization Name:SARA J. BREWER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-220-2247
Mailing Address - Street 1:5270 ELMBURG RD
Mailing Address - Street 2:
Mailing Address - City:BAGDAD
Mailing Address - State:KY
Mailing Address - Zip Code:40003-8000
Mailing Address - Country:US
Mailing Address - Phone:502-265-6243
Mailing Address - Fax:
Practice Address - Street 1:5270 ELMBURG RD
Practice Address - Street 2:
Practice Address - City:BAGDAD
Practice Address - State:KY
Practice Address - Zip Code:40003-8000
Practice Address - Country:US
Practice Address - Phone:502-265-6243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty