Healthcare Provider Details

I. General information

NPI: 1740417047
Provider Name (Legal Business Name): SARA J FRAME LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2009
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 CHICAGO AVE STE 200
MINNEAPOLIS MN
55404-2592
US

IV. Provider business mailing address

1800 CHICAGO AVE STE 200
MINNEAPOLIS MN
55404-2592
US

V. Phone/Fax

Practice location:
  • Phone: 612-596-9438
  • Fax:
Mailing address:
  • Phone: 612-596-9438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1920
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: