Healthcare Provider Details

I. General information

NPI: 1033024781
Provider Name (Legal Business Name): SANDY SCHUH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5475 LIBERTY AVE
VERMILION OH
44089-1383
US

IV. Provider business mailing address

5475 LIBERTY AVE
VERMILION OH
44089-1383
US

V. Phone/Fax

Practice location:
  • Phone: 440-963-0402
  • Fax: 440-963-0521
Mailing address:
  • Phone: 440-963-0402
  • Fax: 440-963-0521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC2608080
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: