Provider Demographics
NPI:1568267938
Name:STEPHENS, SARA MARIE
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:MARIE
Last Name:STEPHENS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 BOGLE ST STE B
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-2895
Mailing Address - Country:US
Mailing Address - Phone:606-485-4611
Mailing Address - Fax:606-485-4613
Practice Address - Street 1:349 BOGLE ST STE B
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2895
Practice Address - Country:US
Practice Address - Phone:606-485-4611
Practice Address - Fax:606-485-4613
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator