Provider Demographics
NPI:1033903471
Name:COHEN, SARA KEALOHA (DNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:KEALOHA
Last Name:COHEN
Suffix:
Gender:
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 KINGSLEY ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19127-1708
Mailing Address - Country:US
Mailing Address - Phone:610-909-2125
Mailing Address - Fax:
Practice Address - Street 1:700 SPRUCE ST STE B03
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-4038
Practice Address - Country:US
Practice Address - Phone:215-829-5085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP032071363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health