MEDICARE: SARAH E BENEDICT

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1063761658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH E BENEDICT

Provider Business Mailing Address
First Line	:	6653 MCKINNEY RANCH PKWY APT 4210
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2215
Country	:	US
Telephone Number	:	972-841-1850
Fax Number	:

Provider Business Practice Location Address
First Line	:	6653 MCKINNEY RANCH PKWY APT 4210
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2215
Country	:	US
Telephone Number	:	972-841-1850
Fax Number	:

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

Provider Enumeration Date	:	08/29/2012
Last Update Date	:	08/29/2012

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Directions to “ SARAH E BENEDICT ” Practice Location

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