Provider Demographics
NPI:1821803818
Name:BOZEMAN, SARA ELIZABETH (MA)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ELIZABETH
Last Name:BOZEMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SARABETH
Other - Middle Name:
Other - Last Name:BOZEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:4510 WARRIOR JASPER RD
Mailing Address - Street 2:
Mailing Address - City:DORA
Mailing Address - State:AL
Mailing Address - Zip Code:35062-2051
Mailing Address - Country:US
Mailing Address - Phone:205-807-9356
Mailing Address - Fax:
Practice Address - Street 1:400 OFFICE PARK DR STE 230
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-3410
Practice Address - Country:US
Practice Address - Phone:205-825-1423
Practice Address - Fax:205-533-9960
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional