Healthcare Provider Details

I. General information

NPI: 1497343396
Provider Name (Legal Business Name): SARAH MCMILLEN LCMFT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2021
Last Update Date: 01/06/2021
Certification Date: 01/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 S 7TH ST
SALINA KS
67401-2806
US

IV. Provider business mailing address

154 S 7TH ST
SALINA KS
67401-2806
US

V. Phone/Fax

Practice location:
  • Phone: 785-577-3389
  • Fax: 785-823-7744
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SARAH ANNE MCMILLEN
Title or Position: OWNER
Credential: MS
Phone: 785-577-3389