Provider Demographics
NPI:1154508216
Name:ERIE, SARA A (MS NCC LPCC LP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:A
Last Name:ERIE
Suffix:
Gender:F
Credentials:MS NCC LPCC LP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:A
Other - Last Name:LIEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:40520 COUNTY HIGHWAY 34
Mailing Address - Street 2:MENTAL HEALTH
Mailing Address - City:OGEMA
Mailing Address - State:MN
Mailing Address - Zip Code:56569-9612
Mailing Address - Country:US
Mailing Address - Phone:218-983-6325
Mailing Address - Fax:218-983-6336
Practice Address - Street 1:40520 COUNTY HIGHWAY 34
Practice Address - Street 2:MENTAL HEALTH
Practice Address - City:OGEMA
Practice Address - State:MN
Practice Address - Zip Code:56569-9612
Practice Address - Country:US
Practice Address - Phone:218-983-6325
Practice Address - Fax:218-983-6336
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00729101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional