National Provider Identifier

Sara Kathleen Lis, LMHC-P

Sara Kathleen Lis, LMHC-P is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 896-7350.

NPI 1639697279Buffalo, NYMental Health Counselor

Profile Overview

NPI
1639697279
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
September 05, 2017
Last Updated
September 05, 2017

Practice Location

  • 1131 Broadway St
  • Buffalo, NY 14212

Phone: (716) 896-7350

Mailing Address

  • 63 Olnet Drive
  • Buffalo, NY 14226

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1639697279
Entity Type
Individual
Last Name
Lis
First Name
Sara
Middle Name
Kathleen
Name Prefix
Mrs.
Credential
LMHC-P
Mailing Street Address
63 Olnet Drive
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14226
Mailing Country
US
Mailing Phone
(716) 289-1169
Practice Street Address
1131 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212
Practice Country
US
Practice Phone
(716) 896-7350
Practice Fax
(716) 896-7717
Enumeration Date
September 05, 2017
Last Updated
September 05, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)