Provider Demographics
NPI:1013522960
Name:HALL, SARA KATHRYN (LMFT-T)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:KATHRYN
Last Name:HALL
Suffix:
Gender:F
Credentials:LMFT-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2231 N BURNING TREE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67228-8724
Mailing Address - Country:US
Mailing Address - Phone:316-765-1295
Mailing Address - Fax:
Practice Address - Street 1:900 N POPLAR ST STE 103
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-1968
Practice Address - Country:US
Practice Address - Phone:316-765-1295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03218106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist