Provider Demographics
NPI:1407992506
Name:BENDELE, SARAH (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BENDELE
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 1:13300 OLD BLANCO RD
Mailing Address - Street 2:STE 220
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-7737
Mailing Address - Country:US
Mailing Address - Phone:210-404-9994
Mailing Address - Fax:210-479-9929
Practice Address - Street 1:13300 OLD BLANCO RD
Practice Address - Street 2:STE 220
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7737
Practice Address - Country:US
Practice Address - Phone:210-404-9994
Practice Address - Fax:210-479-9929
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9623101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional