Provider Demographics
NPI:1568295913
Name:SUMMERS, SARAH BETH (LMHC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BETH
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:B
Other - Last Name:CARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1605 WOLF CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:IA
Mailing Address - Zip Code:50830-8158
Mailing Address - Country:US
Mailing Address - Phone:515-468-9021
Mailing Address - Fax:
Practice Address - Street 1:818 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:IA
Practice Address - Zip Code:50841-1420
Practice Address - Country:US
Practice Address - Phone:515-468-9021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA127980101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health