Provider Demographics
NPI:1053170803
Name:SAGE INSIGHT COMMUNICATION & THERAPEUTIC SERVICES
Entity type:Organization
Organization Name:SAGE INSIGHT COMMUNICATION & THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & CHIEF CLINICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:LASHON
Authorized Official - Middle Name:N
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:216-496-2396
Mailing Address - Street 1:26275 DENNISPORT DR
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-5947
Mailing Address - Country:US
Mailing Address - Phone:216-496-2396
Mailing Address - Fax:
Practice Address - Street 1:3401 ENTERPRISE PKWY STE 340-496
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-7341
Practice Address - Country:US
Practice Address - Phone:216-496-2396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty