| Sanctuary Night | |
|
1195 Sullivant Ave. Columbus OH 43223 | |
| (614) 349-1154 | |
| Not Available |
| Full Name | Sanctuary Night |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1195 Sullivant Ave., Columbus, Ohio |
| Authorized Official Name and Position | Hannah Ruth Estabrook (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6145620397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctuary Night 1195 Sullivant Ave Columbus OH 43223-1350 Ph: (614) 562-0397 | Sanctuary Night 1195 Sullivant Ave. Columbus OH 43223 Ph: (614) 349-1154 |
| NPI Number | 1356910517 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356910517 | NPI | - | NPPES |
| 0478449 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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