Provider Demographics
NPI:1194894089
Name:MORGENTHAL, SANDRA (PCC, CCFC, RN)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:MORGENTHAL
Suffix:
Gender:F
Credentials:PCC, CCFC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7843 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-2608
Mailing Address - Country:US
Mailing Address - Phone:513-561-5600
Mailing Address - Fax:513-561-0982
Practice Address - Street 1:7843 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-2608
Practice Address - Country:US
Practice Address - Phone:513-561-5600
Practice Address - Fax:513-561-0982
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002879101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health