Provider Demographics
NPI:1780165027
Name:ADAMS, SARAH L (CDCA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4221 STATE ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:GREENUP
Mailing Address - State:KY
Mailing Address - Zip Code:41144-7978
Mailing Address - Country:US
Mailing Address - Phone:606-371-9288
Mailing Address - Fax:
Practice Address - Street 1:49 TOWNSHIP ROAD 365
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-9409
Practice Address - Country:US
Practice Address - Phone:740-451-0221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-24
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.164906101YA0400X
OHAPS.005716175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No175T00000XOther Service ProvidersPeer Specialist