Healthcare Provider Details

I. General information

NPI: 1821894932
Provider Name (Legal Business Name): AMANDA RAE SAURBER CPRS, CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2906 URWILER AVE
CINCINNATI OH
45211-5708
US

IV. Provider business mailing address

2906 URWILER AVE
CINCINNATI OH
45211-5708
US

V. Phone/Fax

Practice location:
  • Phone: 513-954-9542
  • Fax:
Mailing address:
  • Phone: 513-954-9542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number190114
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberAPS005392
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: