MEDICARE: SARA J. BREWER COUNSELING

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	:	1851086276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARA J. BREWER COUNSELING

Provider Business Mailing Address
First Line	:	5270 ELMBURG RD
Second Line	:
City	:	BAGDAD
State	:	KY
Zip	:	40003-8000
Country	:	US
Telephone Number	:	502-265-6243
Fax Number	:

Provider Business Practice Location Address
First Line	:	5270 ELMBURG RD
Second Line	:
City	:	BAGDAD
State	:	KY
Zip	:	40003-8000
Country	:	US
Telephone Number	:	502-265-6243
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARA BREWER
Credential	:
Telephone Number	:	502-220-2247

Provider Enumeration Date	:	04/11/2023
Last Update Date	:	05/11/2023

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