MEDICARE: SARAH STOVER 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
1	101YP2500X	Professional Counselor	LPC.0014715	CO
2	101Y00000X	Counselor	LPC.0014715	CO

General Provider Information

NPI Number	:	1508305517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH STOVER LPC

Provider Business Mailing Address
First Line	:	5475 LA PORTE DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-2209
Country	:	US
Telephone Number	:	517-927-2203
Fax Number	:

Provider Business Practice Location Address
First Line	:	1283 KELLY JOHNSON BLVD STE 200
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3925
Country	:	US
Telephone Number	:	719-413-6776
Fax Number	:

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

Provider Enumeration Date	:	02/23/2017
Last Update Date	:	05/07/2025

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