MEDICARE: SARA M MYERS 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	4980-125	WI

General Provider Information

NPI Number	:	1639417231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA M MYERS LPC

Provider Business Mailing Address
First Line	:	313 PRICE PL STE 213
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53705-3262
Country	:	US
Telephone Number	:	608-354-4688
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 PRICE PL STE 213
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53705-3262
Country	:	US
Telephone Number	:	608-354-4688
Fax Number	:

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

Provider Enumeration Date	:	01/17/2013
Last Update Date	:	07/21/2022

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Directions to “ SARA M MYERS LPC” Practice Location

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