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General NPI Number Information
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NPI Number | 1477082857
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Entity Type | Organization
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Legal Business Name | SARA RIDLEY COUNSELING PRACTICE, LLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 21350 ALMAR DR
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-3823
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Country | US
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Telephone | 440-941-3285
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Fax | 440-815-2189
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Provider Business Mailing Address
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Address Line | 21350 ALMAR DR
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-3823
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Country | US
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Telephone | 440-941-3285
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Fax | 440-815-2189
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Authorized Official
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Title or Position | OWER/CLINICAL SOCIAL WORKER
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Name | SARA JOYCE RIDLEY
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Credential | LISW
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Telephone | 440-241-6054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | I1000364
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License Number State | OH
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