Basic Information
Provider Information
NPI: 1225410277
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BABYAK
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 711 BELMONT AVE
Address2:  
City: YOUNGSTOWN
State: OH
PostalCode: 445021039
CountryCode: US
TelephoneNumber: 3307932487
FaxNumber: 3307435748
Practice Location
Address1: 711 BELMONT AVE
Address2:  
City: YOUNGSTOWN
State: OH
PostalCode: 445021039
CountryCode: US
TelephoneNumber: 3307932487
FaxNumber: 3307435748
Other Information
ProviderEnumerationDate: 06/26/2015
LastUpdateDate: 04/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XE0700047OHN Behavioral Health & Social Service ProvidersCounselorProfessional
101YM0800XE.0700047OHY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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