MEDICARE: MRS. SARAH E BEARDSLEE LCPC

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	101YP2500X	Professional Counselor	2707	KS

General Provider Information

NPI Number	:	1275882094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH E BEARDSLEE LCPC

Provider Business Mailing Address
First Line	:	300 W DOUGLAS AVE STE 122
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67202-2905
Country	:	US
Telephone Number	:	316-706-7359
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 W DOUGLAS AVE STE 122
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67202-2905
Country	:	US
Telephone Number	:	316-706-7359
Fax Number	:

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

Provider Enumeration Date	:	09/07/2012
Last Update Date	:	12/31/2025

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