Provider Demographics
NPI:1205341633
Name:VORHIS, SARAH (LISW-S (I 1302879))
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:VORHIS
Suffix:
Gender:F
Credentials:LISW-S (I 1302879)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 COUNTY LINE RD W STE B
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7233
Mailing Address - Country:US
Mailing Address - Phone:614-360-2600
Mailing Address - Fax:844-320-2600
Practice Address - Street 1:5071 FOREST DR STE B
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8181
Practice Address - Country:US
Practice Address - Phone:614-360-2600
Practice Address - Fax:844-320-2600
Is Sole Proprietor?:No
Enumeration Date:2017-12-07
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH121150101YA0400X
OHI1302879101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0075958Medicaid