Provider Demographics
NPI:1093496325
Name:HENRY, SARA LINDSAY (MS, LPC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LINDSAY
Last Name:HENRY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-3169
Mailing Address - Country:US
Mailing Address - Phone:214-949-3546
Mailing Address - Fax:
Practice Address - Street 1:102 YMCA DR
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-5123
Practice Address - Country:US
Practice Address - Phone:214-949-3546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79571101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional