Healthcare Provider Details

I. General information

NPI: 1568203941
Provider Name (Legal Business Name): SARA A BARTLEY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2024
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 NORTHWOODS BLVD STE C1
COLUMBUS OH
43235-4720
US

IV. Provider business mailing address

92 NORTHWOODS BLVD STE C1
COLUMBUS OH
43235-4720
US

V. Phone/Fax

Practice location:
  • Phone: 614-681-1462
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2607490
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: