Healthcare Provider Details

I. General information

NPI: 1184593261
Provider Name (Legal Business Name): SARA L LENZ LMHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1652 42ND ST NE STE C1
CEDAR RAPIDS IA
52402-3075
US

IV. Provider business mailing address

1652 42ND ST NE STE C1
CEDAR RAPIDS IA
52402-3075
US

V. Phone/Fax

Practice location:
  • Phone: 319-382-8665
  • Fax: 319-409-8103
Mailing address:
  • Phone: 319-382-8665
  • Fax: 319-409-8103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SARA LENZ
Title or Position: OWNER/THERAPIST
Credential: LMHC CST
Phone: 319-382-8665