Provider Demographics
NPI:1407972581
Name:ALLEN, SARAH S (LMFT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:S
Last Name:ALLEN
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 1:520 SO. LAFAYETTE PK. PLACE
Mailing Address - Street 2:3 RD FLOOR
Mailing Address - City:LA
Mailing Address - State:CA
Mailing Address - Zip Code:90057
Mailing Address - Country:US
Mailing Address - Phone:213-252-2100
Mailing Address - Fax:213-383-3146
Practice Address - Street 1:110 S 12TH ST
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701
Practice Address - Country:US
Practice Address - Phone:254-752-3451
Practice Address - Fax:254-756-3133
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF39209106H00000X
CAMFC45709106H00000X
TX203020106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist