| Sarah Kosiba | |
|
5402 Morningside Ave Sioux City IA 51106-3136 | |
| (712) 401-7312 | |
| (319) 271-6419 |
| Full Name | Sarah Kosiba |
|---|---|
| Speciality | Counselor |
| Location | 5402 Morningside Ave, Sioux City, Iowa |
| Authorized Official Name and Position | Sarah Kosiba (OWNER/THERAPIST) |
| Authorized Official Contact | 7124017312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Kosiba 5402 Morningside Ave Sioux City IA 51106-3136 Ph: (712) 401-7312 | Sarah Kosiba 5402 Morningside Ave Sioux City IA 51106-3136 Ph: (712) 401-7312 |
| NPI Number | 1760113880 |
|---|---|
| Provider Enumeration Date | 06/20/2022 |
| Last Update Date | 06/27/2022 |
| Certification Date | 06/27/2022 |
| Medicare PECOS PAC ID | 0749625820 |
|---|---|
| Medicare Enrollment ID | O20240228002558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760113880 | NPI | - | NPPES |
| 0223597 | Medicaid | IA | |
| 10027029200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Sarah Kosiba |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710422761 PECOS PAC ID: 1658716733 Enrollment ID: I20240228002893 |
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