MEDICARE: A CENTERED LIFE

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

General Provider Information

NPI Number	:	1912729351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A CENTERED LIFE

Provider Business Mailing Address
First Line	:	300 W DOUGLAS AVE STE 122
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67202-2905
Country	:	US
Telephone Number	:	316-706-7359
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 W DOUGLAS AVE STE 122
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67202-2905
Country	:	US
Telephone Number	:	316-706-7359
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH E BEARDSLEE
Credential	:	LCPC
Telephone Number	:	316-706-7359

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	12/31/2025

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Directions to “A CENTERED LIFE ” Practice Location

Language	Start Address	Practice Location

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