MEDICARE: MS. SARAH KATHERINE ADAMS LPCC

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	101YP2500X	Professional Counselor	E.1901399	OH

General Provider Information

NPI Number	:	1912422411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH KATHERINE ADAMS LPCC

Provider Business Mailing Address
First Line	:	4175 DOVER CENTER RD
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-1709
Country	:	US
Telephone Number	:	512-920-4778
Fax Number	:

Provider Business Practice Location Address
First Line	:	15256 TRISKETT RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-3034
Country	:	US
Telephone Number	:	216-839-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2017
Last Update Date	:	09/06/2019

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