Provider Demographics
NPI:1952587305
Name:MINGES, SARA (LPC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:MINGES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W 24TH ST
Mailing Address - Street 2:#P14
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-5719
Mailing Address - Country:US
Mailing Address - Phone:913-244-8786
Mailing Address - Fax:
Practice Address - Street 1:1301 W 24TH ST
Practice Address - Street 2:#P14
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-5719
Practice Address - Country:US
Practice Address - Phone:913-244-8786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1961101YM0800X
KS1918101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health