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NPI Code Detail

MEDICARE: SARAH B HEINZL LPC

MEDICARE: SARAH B HEINZL LPC
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
1101YP2500XProfessional CounselorLPC-21795AZ

General Provider Information

NPI Number : 1386336345
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH B HEINZL LPC
Provider Business Mailing Address
First Line : 3807 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5005
Country : US
Telephone Number : 205-409-4219
Fax Number : 602-926-8399
Provider Business Practice Location Address
First Line : 502 N 27TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85009-4420
Country : US
Telephone Number : 602-258-6797
Fax Number : 602-926-8399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2023
Last Update Date : 05/25/2023

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