Provider Demographics
NPI:1003258328
Name:BARTUSCH, SARAH JO (MS)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JO
Last Name:BARTUSCH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 OLD TROLLEY RD STE A
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-5673
Mailing Address - Country:US
Mailing Address - Phone:800-552-4357
Mailing Address - Fax:678-388-9244
Practice Address - Street 1:201 SIGMA DR STE 300
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-7722
Practice Address - Country:US
Practice Address - Phone:800-552-4357
Practice Address - Fax:678-388-9244
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor