MEDICARE: SANOS COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1235967233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANOS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	338 MODESTA RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4434
Country	:	US
Telephone Number	:	614-423-5833
Fax Number	:

Provider Business Practice Location Address
First Line	:	338 MODESTA RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4434
Country	:	US
Telephone Number	:	614-423-5833
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KARLA MICHELLE LEBRON-RIVERA
Credential	:	LISW-S
Telephone Number	:	614-423-5833

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	07/23/2024

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Directions to “SANOS COUNSELING, LLC ” Practice Location

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