Provider Demographics
NPI:1467992990
Name:SARA KAHLER LLC
Entity Type:Organization
Organization Name:SARA KAHLER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHLER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, BSL
Authorized Official - Phone:484-735-4985
Mailing Address - Street 1:25 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-2254
Mailing Address - Country:US
Mailing Address - Phone:484-735-4985
Mailing Address - Fax:
Practice Address - Street 1:25 E CENTER ST
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-2254
Practice Address - Country:US
Practice Address - Phone:484-735-4985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007096261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)