Provider Demographics
NPI:1306609144
Name:MULLEN, SARAH L (LSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:MULLEN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 N SCOTTSDALE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-4421
Mailing Address - Country:US
Mailing Address - Phone:330-715-5832
Mailing Address - Fax:
Practice Address - Street 1:744 ADMORE DR
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-1617
Practice Address - Country:US
Practice Address - Phone:330-715-5832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2207626104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker