Healthcare Provider Details

I. General information

NPI: 1740986777
Provider Name (Legal Business Name): SARAH REILLY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 CAVALIER BLVD STE 328
FLORENCE KY
41042-5171
US

IV. Provider business mailing address

71 CAVALIER BLVD STE 328
FLORENCE KY
41042-5171
US

V. Phone/Fax

Practice location:
  • Phone: 859-391-5197
  • Fax:
Mailing address:
  • Phone: 859-429-1609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. SARAH REILLY
Title or Position: OWNER/THERAPIST
Credential: LCSW-S, LISW-S
Phone: 859-429-1609