Provider Demographics
NPI:1124457239
Name:SARAH EHLERS, LCSW LLC
Entity type:Organization
Organization Name:SARAH EHLERS, LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:EHLERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:816-521-0479
Mailing Address - Street 1:3635 NE CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64117-2640
Mailing Address - Country:US
Mailing Address - Phone:816-521-0479
Mailing Address - Fax:
Practice Address - Street 1:1170 W KANSAS AVE
Practice Address - Street 2:BLDG 10
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068
Practice Address - Country:US
Practice Address - Phone:816-200-1738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007020881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty