Healthcare Provider Details

I. General information

NPI: 1710811633
Provider Name (Legal Business Name): SARAH E. RALSTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 BOWTOWN RD
DELAWARE OH
43015-9661
US

IV. Provider business mailing address

16 W LONG ST
COLUMBUS OH
43215-2815
US

V. Phone/Fax

Practice location:
  • Phone: 740-695-7795
  • Fax: 740-362-4411
Mailing address:
  • Phone: 614-225-0990
  • Fax: 614-225-0991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2410620
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: