Provider Demographics
NPI:1033136700
Name:SAGE INSTITUTE LLC
Entity Type:Organization
Organization Name:SAGE INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:713-256-1127
Mailing Address - Street 1:1243 MOUNTAIN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1509
Mailing Address - Country:US
Mailing Address - Phone:713-256-1127
Mailing Address - Fax:281-261-0334
Practice Address - Street 1:10333 NORTHWEST FWY STE 505
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8219
Practice Address - Country:US
Practice Address - Phone:713-256-1127
Practice Address - Fax:281-261-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty