Provider Demographics
NPI:1346548336
Name:SULTAN, SARAH I (LPC, LMHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:I
Last Name:SULTAN
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 SHADOW KNOLL CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-5623
Mailing Address - Country:US
Mailing Address - Phone:832-317-6707
Mailing Address - Fax:
Practice Address - Street 1:3803 SHADOW KNOLL CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-5623
Practice Address - Country:US
Practice Address - Phone:832-317-6707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2016-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP79057101YM0800X
TX75042101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health