Provider Demographics
NPI:1407166374
Name:SPRINGER, SARA ANNE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ANNE
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:TX
Mailing Address - Zip Code:76579-0188
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1407 LOWER TROY RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:TX
Practice Address - Zip Code:76579-2608
Practice Address - Country:US
Practice Address - Phone:254-718-7929
Practice Address - Fax:254-718-7929
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2023-12-22
Deactivation Date:2019-01-02
Deactivation Code:
Reactivation Date:2023-12-22
Provider Licenses
StateLicense IDTaxonomies
TX201314106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162861201Medicaid