Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Counselor |
101Y00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1013873769 |
| LBN Legal business name | SAGEBRUSH COUNSELING LLC |
| Authorized official | DAMOND DOTSON - (BILLING MANAGER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/26/2025 |
| Last updated | 12/26/2025 - About 5 months ago |
| Identifiers | n/a |
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