MEDICARE: SARA SANDERS LPCC

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	164085	KY

General Provider Information

NPI Number	:	1821331661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA SANDERS LPCC

Provider Business Mailing Address
First Line	:	2202 US HWY 41N
Second Line	:	UNIT E #175
City	:	HENDERSON
State	:	KY
Zip	:	42420-1385
Country	:	US
Telephone Number	:	270-883-1502
Fax Number	:	270-297-7272

Provider Business Practice Location Address
First Line	:	2202 US HIGHWAY 41 N STE E
Second Line	:
City	:	HENDERSON
State	:	KY
Zip	:	42420-2399
Country	:	US
Telephone Number	:	270-883-1502
Fax Number	:

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

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	11/03/2022

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Directions to “ SARA SANDERS LPCC” Practice Location

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