MEDICARE: DR. SARA MUHAMMAD TAWIL LMHC-NCC

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	001268	IA
2	106H00000X	Marriage & Family Therapist	1268	IA

General Provider Information

NPI Number	:	1528381217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA MUHAMMAD TAWIL LMHC-NCC

Provider Business Mailing Address
First Line	:	1930 SAINT ANDREWS CT NE STE X
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-5813
Country	:	US
Telephone Number	:	319-214-5844
Fax Number	:	888-632-7914

Provider Business Practice Location Address
First Line	:	1930 SAINT ANDREWS CT NE STE X
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-5813
Country	:	US
Telephone Number	:	319-214-5844
Fax Number	:	888-632-7914

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

Provider Enumeration Date	:	03/09/2010
Last Update Date	:	04/26/2024

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