Cicchinelli, Sara R

Cicchinelli, Sara R is an sole proprietor health care provider with primary practice located at 7519 Mentor Ave Ste 211 , Mentor OH 44060-5434. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Cicchinelli, Sara R can be contacted via phone (440) 701-6170.

Contact Information

Primary practice address
7519 Mentor Ave Ste 211 Mentor OH 44060-5434
Phone: (440) 701-6170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X C.1400204 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1901289 Ohio

Profile Details

NPI number 1679091326
LBN Legal business name Cicchinelli, Sara R
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2017
Last updated Jan 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679091326 NPPES
Ohio MEDICAID 2844093

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