Provider Demographics
NPI:1144422981
Name:SUTTON, SARAH L (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:SUTTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 CASTLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5107
Mailing Address - Country:US
Mailing Address - Phone:512-502-9585
Mailing Address - Fax:
Practice Address - Street 1:5524 BEE CAVE ROAD
Practice Address - Street 2:K-2B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7874
Practice Address - Country:US
Practice Address - Phone:512-502-9585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19234101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health