Healthcare Provider Details

I. General information

NPI: 1336082635
Provider Name (Legal Business Name): SARAH NAJETTE ROBERTSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 NE TUDOR RD
LEES SUMMIT MO
64086-5696
US

IV. Provider business mailing address

204 CHEROKEE DR
BELTON MO
64012-2912
US

V. Phone/Fax

Practice location:
  • Phone: 913-735-0577
  • Fax:
Mailing address:
  • Phone: 319-431-8797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: