Gray, Sara

Gray, Sara is an individual health care provider with primary practice located at 4464 S Dixie Hwy , Middletown OH 45005-5464. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Gray, Sara can be contacted via phone (513) 649-8008.

Contact Information

Primary practice address
4464 S Dixie Hwy Middletown OH 45005-5464
Phone: (513) 649-8008
Fax: (513) 649-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S.0010199 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S.0010199 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.923222 Ohio

Profile Details

NPI number 1447797220
LBN Legal business name Gray, Sara
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2017
Last updated Feb 8th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447797220 NPPES
Ohio Other 01-0693 CARF CERTIFICATION
Ohio Other 0074946 CARF CERTIFICATION
Ohio Other 0074861 CARF CERTIFICATION
Ohio Other H130910 CARF CERTIFICATION

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