Provider Demographics
NPI:1164717914
Name:SARGENT, JAMES SHELDON (LCDC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SHELDON
Last Name:SARGENT
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 WESTCOTT ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-9015
Mailing Address - Country:US
Mailing Address - Phone:713-962-6240
Mailing Address - Fax:
Practice Address - Street 1:10010 KEMPWOOD DR
Practice Address - Street 2:#126
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-2694
Practice Address - Country:US
Practice Address - Phone:713-962-6240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10601101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)