Healthcare Provider Details

I. General information

NPI: 1477331890
Provider Name (Legal Business Name): SARAH COYLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 MORRIS RD
CIRCLEVILLE OH
43113-1363
US

IV. Provider business mailing address

PO BOX 6179
CHILLICOTHEE OH
45601-6179
US

V. Phone/Fax

Practice location:
  • Phone: 740-474-8874
  • Fax:
Mailing address:
  • Phone: 740-775-1260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.197349
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: