Healthcare Provider Details

I. General information

NPI: 1992669634
Provider Name (Legal Business Name): SARA MCGEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 W PROSPECT ST APT 3
BRIDGEPORT OH
43912-1400
US

IV. Provider business mailing address

43 W PROSPECT ST APT 3
BRIDGEPORT OH
43912-1400
US

V. Phone/Fax

Practice location:
  • Phone: 740-238-1747
  • Fax:
Mailing address:
  • Phone: 740-238-1747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number222948
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: