Provider Demographics
NPI:1013033083
Name:LAVAL, SABRA S (MA)
Entity Type:Individual
Prefix:MS
First Name:SABRA
Middle Name:S
Last Name:LAVAL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 NORTH LOOP W STE 422
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1081
Mailing Address - Country:US
Mailing Address - Phone:713-527-8686
Mailing Address - Fax:713-880-2800
Practice Address - Street 1:2525 NORTH LOOP W STE 422
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1081
Practice Address - Country:US
Practice Address - Phone:713-527-8686
Practice Address - Fax:713-880-2800
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX03422101YM0800X
TX2080101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTRICARE 81872LMedicaid