Provider Demographics
NPI:1518181452
Name:BIXLER, SARAH ELIZABETH (MA, CSAC, LADC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:BIXLER
Suffix:
Gender:F
Credentials:MA, CSAC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 PENN AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-3051
Mailing Address - Country:US
Mailing Address - Phone:218-248-0704
Mailing Address - Fax:
Practice Address - Street 1:1137 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105
Practice Address - Country:US
Practice Address - Phone:612-719-4137
Practice Address - Fax:651-340-3620
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13912-132101YA0400X
MNNONE ASSIGNED101YA0400X
MN302071101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)