Healthcare Provider Details

I. General information

NPI: 1669989653
Provider Name (Legal Business Name): SARAH OCHMANEK CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH HESLET

II. Dates (important events)

Enumeration Date: 12/29/2017
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4747 MONROE ST
TOLEDO OH
43623-4307
US

IV. Provider business mailing address

3222 W CENTRAL AVE
TOLEDO OH
43606-2929
US

V. Phone/Fax

Practice location:
  • Phone: 419-740-5709
  • Fax:
Mailing address:
  • Phone: 567-316-7253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.164294
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberCDCA.164294
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: