Provider Demographics
NPI:1437522943
Name:ALLEN, SAGAN (MA, PLPC)
Entity Type:Individual
Prefix:
First Name:SAGAN
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:SAGAN
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, PLPC
Mailing Address - Street 1:6723 SUTTON DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70812-1363
Mailing Address - Country:US
Mailing Address - Phone:337-418-0198
Mailing Address - Fax:
Practice Address - Street 1:2320 DRUSILLA LN STE E
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1495
Practice Address - Country:US
Practice Address - Phone:225-930-4530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6352101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health