Provider Demographics
NPI:1871190389
Name:SACHAU, KELLY JEAN (LMHC)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:JEAN
Last Name:SACHAU
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 4TH ST STE 220-A
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1900
Mailing Address - Country:US
Mailing Address - Phone:712-847-2226
Mailing Address - Fax:712-268-6786
Practice Address - Street 1:1119 4TH ST STE 220-A
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1900
Practice Address - Country:US
Practice Address - Phone:712-847-2226
Practice Address - Fax:712-268-6786
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA106139101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health