MEDICARE: SARAH STUARD LMHCA

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1528661295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH STUARD LMHCA

Provider Business Mailing Address
First Line	:	3368 WASHINGTON BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-3850
Country	:	US
Telephone Number	:	317-825-8561
Fax Number	:

Provider Business Practice Location Address
First Line	:	3921 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-4061
Country	:	US
Telephone Number	:	317-956-4452
Fax Number	:

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

Provider Enumeration Date	:	11/17/2020
Last Update Date	:	11/17/2020

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Directions to “ SARAH STUARD LMHCA” Practice Location

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