MEDICARE: SARA KATHERINE TAFT

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	88002251A	IN

General Provider Information

NPI Number	:	1811750573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA KATHERINE TAFT

Provider Business Mailing Address
First Line	:	2481 ASCENT WAY APT 206
Second Line	:
City	:	PLAINFIELD
State	:	IN
Zip	:	46168-5657
Country	:	US
Telephone Number	:	574-238-6247
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 E MAIN ST STE 107B
Second Line	:
City	:	PLAINFIELD
State	:	IN
Zip	:	46168-2816
Country	:	US
Telephone Number	:	317-286-6701
Fax Number	:

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

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	02/05/2024

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Directions to “ SARA KATHERINE TAFT ” Practice Location

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