Provider Demographics
NPI:1609288992
Name:MILLER, LANE SARAH (LMSW)
Entity type:Individual
Prefix:
First Name:LANE
Middle Name:SARAH
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LANE
Other - Middle Name:SARAH
Other - Last Name:HERMRECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICES LLC
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049
Mailing Address - Country:US
Mailing Address - Phone:785-371-1414
Mailing Address - Fax:785-371-4519
Practice Address - Street 1:3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICES LLC
Practice Address - Street 2:SUITE 104
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049
Practice Address - Country:US
Practice Address - Phone:785-371-1414
Practice Address - Fax:785-371-4519
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-21
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8790104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker