Basic Information
Provider Information
NPI: 1508531245
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DYE
FirstName: SARAH
MiddleName: LINN
NamePrefix:  
NameSuffix:  
Credential: LMFT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 229 S LINCOLN ST
Address2:  
City: MARION
State: KS
PostalCode: 668611439
CountryCode: US
TelephoneNumber: 3162959374
FaxNumber:  
Practice Location
Address1: 1600 N LORRAINE ST STE 202
Address2:  
City: HUTCHINSON
State: KS
PostalCode: 675015600
CountryCode: US
TelephoneNumber: 6206637595
FaxNumber: 6205135098
Other Information
ProviderEnumerationDate: 08/13/2021
LastUpdateDate: 08/31/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/31/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000X03311KSY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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