Basic Information
| Provider Information | |||||||||
| NPI: | 1942638895 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOENIES | ||||||||
| FirstName: | SARA | ||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 FOURTH AVENUE WEST | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | SHAKOPEE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553791220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9524968565 | ||||||||
| FaxNumber: | 9524968355 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 4TH AVENUE WEST | ||||||||
| Address2: | STE 300 | ||||||||
| City: | SHAKOPEE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553791220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9524968565 | ||||||||
| FaxNumber: | 9524968355 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2013 | ||||||||
| LastUpdateDate: | 04/24/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 2596 | MN | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.