Sage, Elizabeth Anna

Sage, Elizabeth Anna is an individual health care provider with primary practice located at 289 Ireland Ave Ireland Armycommunity Hospital, Fort Knox KY 40121-5111. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Sage, Elizabeth Anna can be contacted via phone (502) 624-9007.

Contact Information

Primary practice address
289 Ireland Ave Ireland Armycommunity Hospital Fort Knox KY 40121-5111
Phone: (502) 624-9007
Fax: (502) 624-9549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X NBAECERTIFICATE24589 Nevada
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00006723 Washington

Profile Details

NPI number 1578538187
LBN Legal business name Sage, Elizabeth Anna
Credentials LICSW,MAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1578538187 NPPES
Nevada Other CERTIFICATE 24589 MASTER ADDICTION COUNSELO
Nevada Other LW00006723 MASTER ADDICTION COUNSELO

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