Provider Demographics
NPI:1508134164
Name:VARILEK, SARAH MICHELLE (LPC-MH)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MICHELLE
Last Name:VARILEK
Suffix:
Gender:F
Credentials:LPC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 E BISON TRL STE 200
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-8006
Mailing Address - Country:US
Mailing Address - Phone:605-961-4746
Mailing Address - Fax:605-961-4747
Practice Address - Street 1:3240 E BISON TRL STE 200
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8006
Practice Address - Country:US
Practice Address - Phone:605-961-4746
Practice Address - Fax:605-961-4747
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH2250101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD46-0232306OtherNON-PROFIT