Provider Demographics
NPI:1669901484
Name:SLUSHER, SARAH (LCDC-III, SAP)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:
Last Name:SLUSHER
Suffix:
Gender:F
Credentials:LCDC-III, SAP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:SCHWABLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ICADC, LCDCIII, ICCS
Mailing Address - Street 1:100 CROWNE POINT PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-5427
Mailing Address - Country:US
Mailing Address - Phone:513-743-7628
Mailing Address - Fax:
Practice Address - Street 1:1440 W KEMPER RD APT 407
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1669
Practice Address - Country:US
Practice Address - Phone:513-226-9611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-06
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1138101YA0400X
LCDCIII.162486101YA0400X
FLCAP100343101YA0400X
OHLCDCIII.162486101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAADACOtherSAP
GA1138OtherADACBGA
806540OtherIC&RC
OHLCDCIII.162486OtherLCDCIII
OHOCDBOtherLCDC-III
FLCAP100343OtherFCB