Provider Demographics
NPI:1053434050
Name:SAHNER AND ASSOCIATES INC.
Entity type:Organization
Organization Name:SAHNER AND ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHNER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:502-899-5595
Mailing Address - Street 1:173 SEARS AVE
Mailing Address - Street 2:SUITE 261
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-5059
Mailing Address - Country:US
Mailing Address - Phone:502-899-5595
Mailing Address - Fax:502-899-3537
Practice Address - Street 1:173 SEARS AVE
Practice Address - Street 2:SUITE 261
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-5059
Practice Address - Country:US
Practice Address - Phone:502-899-5595
Practice Address - Fax:502-899-3537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY 0941251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY17000605Medicaid
KY041680000OtherMAGELLAN ID NUMBER
KY1132407OtherCIGNA VENDOR NUMBER
KY165111121022OtherHUMANA PROVIDER NUMBER