Provider Demographics
NPI:1457834145
Name:LENTZ, SARAH MARIA (LAMFT)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:MARIA
Last Name:LENTZ
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:MARIA
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:589 CLEVELAND AVE S APT 1
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-1282
Mailing Address - Country:US
Mailing Address - Phone:651-283-3917
Mailing Address - Fax:
Practice Address - Street 1:3548 BRYANT AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-4119
Practice Address - Country:US
Practice Address - Phone:612-822-8227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist