MEDICARE: MS. SARAH ELIZABETH OWEN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	1697	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295751139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH ELIZABETH OWEN LPC

Provider Business Mailing Address
First Line	:	709 N NEVADA AVE
Second Line	:	SUITE 206
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-5007
Country	:	US
Telephone Number	:	719-231-7465
Fax Number	:	719-597-0212

Provider Business Practice Location Address
First Line	:	709 N NEVADA AVE
Second Line	:	SUITE 206
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-5007
Country	:	US
Telephone Number	:	719-231-7465
Fax Number	:	719-597-0212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/08/2007

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