Provider Demographics
NPI:1487249959
Name:COAN, SARAH (ACMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:COAN
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:COAN
Other - Last Name:LEONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:444 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3468
Mailing Address - Country:US
Mailing Address - Phone:435-572-0510
Mailing Address - Fax:
Practice Address - Street 1:444 S MAIN ST STE A4
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3432
Practice Address - Country:US
Practice Address - Phone:435-572-0510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT106S00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician