National Provider Identifier
Sara Liedtke, LMHC
Sara Liedtke, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Fairport, NY and a listed phone number of (585) 478-2560.
Profile Overview
- NPI
- 1790132314
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- May 24, 2016
- Last Updated
- July 07, 2019
Practice Location
- 1387 Fairport RD Ste 504
- Fairport, NY 14450-2003
Phone: (585) 478-2560
Mailing Address
- 42 Faraday St Apt 4
- Rochester, NY 14610-1763
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1790132314
- Entity Type
- Individual
- Last Name
- Liedtke
- First Name
- Sara
- Credential
- LMHC
- Mailing Street Address
- 42 Faraday St Apt 4
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14610-1763
- Mailing Country
- US
- Mailing Phone
- (585) 478-2560
- Practice Street Address
- 1387 Fairport RD Ste 504
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-2003
- Practice Country
- US
- Practice Phone
- (585) 478-2560
- Enumeration Date
- May 24, 2016
- Last Updated
- July 07, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)