Provider Demographics
NPI:1154074748
Name:SANDRA ANN LABADIA
Entity Type:Organization
Organization Name:SANDRA ANN LABADIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LABADIA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-620-6767
Mailing Address - Street 1:3982 N STORY RD APT 421B
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-5981
Mailing Address - Country:US
Mailing Address - Phone:214-620-6767
Mailing Address - Fax:972-600-9913
Practice Address - Street 1:3982 N STORY RD APT 421B
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-5981
Practice Address - Country:US
Practice Address - Phone:214-620-6767
Practice Address - Fax:972-600-9913
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANDRA ANN LABADIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101200000XBehavioral Health & Social Service ProvidersDrama TherapistGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No175L00000XOther Service ProvidersHomeopathGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty