Provider Demographics
NPI:1801381843
Name:LYNCH, SARA ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:ANN
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6350 COACHLIGHT DR UNIT 3303
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-2810
Mailing Address - Country:US
Mailing Address - Phone:319-296-5514
Mailing Address - Fax:
Practice Address - Street 1:6350 COACHLIGHT DR UNIT 3303
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-2810
Practice Address - Country:US
Practice Address - Phone:319-296-5514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001630101Y00000X, 101YA0400X, 101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional