Provider Demographics
NPI:1821894932
Name:SAURBER, AMANDA RAE (CPRS, CDCA)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:RAE
Last Name:SAURBER
Suffix:
Gender:
Credentials:CPRS, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 URWILER AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-5708
Mailing Address - Country:US
Mailing Address - Phone:513-954-9542
Mailing Address - Fax:
Practice Address - Street 1:2906 URWILER AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-5708
Practice Address - Country:US
Practice Address - Phone:513-954-9542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
APS005392172V00000X
OH190114101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No172V00000XOther Service ProvidersCommunity Health Worker