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NPI Code Detail

MEDICARE: SARAH L PHELPS LMHC

MEDICARE: SARAH L PHELPS LMHC
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
1101YM0800XMental Health Counselor109582IA

General Provider Information

NPI Number : 1154109502
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH L PHELPS LMHC
Provider Business Mailing Address
First Line : 520 11TH ST NW
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52405-3835
Country : US
Telephone Number : 319-398-3562
Fax Number :
Provider Business Practice Location Address
First Line : 721 S 5TH ST
Second Line :
City : MANCHESTER
State : IA
Zip : 52057-2048
Country : US
Telephone Number : 563-927-6700
Fax Number : 563-927-6703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2023
Last Update Date : 09/18/2023

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Directions to “ SARAH L PHELPS LMHC” Practice Location

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