| Doctor Name: | SANDY BOLLHAUER |
| NPI Number: | 1134506082 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0624 |
| Business Practice Address: | 2816 Bluegrass Dr Highland Heights, KY - 410761577 |
| Business Phone Number: | 8594428500 |
| Business Fax Number: | 8594428555 |
| Mailing Address: | 35 Sunnymede Dr, FT MITCHELL |
| State: | KY |
| Postal Code: | 410172816 |
| Phone Number: | 8596534128 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2015 |
| NPI Last Update Date: | 04/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0624 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |