Provider Demographics
NPI:1275882094
Name:BEARDSLEE, SARAH E (LCPC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:BEARDSLEE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W DOUGLAS AVE STE 122
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-2905
Mailing Address - Country:US
Mailing Address - Phone:316-706-7359
Mailing Address - Fax:
Practice Address - Street 1:300 W DOUGLAS AVE STE 122
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-2905
Practice Address - Country:US
Practice Address - Phone:316-706-7359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2707101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health