Provider Demographics
NPI:1326424821
Name:SAUERS, ALICIA
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:SAUERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6447 BAILEY RD
Mailing Address - Street 2:NONE
Mailing Address - City:EAU CLAIRE
Mailing Address - State:MI
Mailing Address - Zip Code:49111-9654
Mailing Address - Country:US
Mailing Address - Phone:269-461-6922
Mailing Address - Fax:
Practice Address - Street 1:1485 S. M-139
Practice Address - Street 2:NONE
Practice Address - City:BENTON HARBOR
Practice Address - State:MI
Practice Address - Zip Code:49023
Practice Address - Country:US
Practice Address - Phone:269-934-3467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009654101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health