Provider Demographics
NPI:1235837782
Name:LACEY, SARAH L (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:LACEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 SHILLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-4333
Mailing Address - Country:US
Mailing Address - Phone:713-304-1039
Mailing Address - Fax:
Practice Address - Street 1:609 PARK GROVE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6190
Practice Address - Country:US
Practice Address - Phone:713-304-1039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional