Provider Demographics
NPI:1497099717
Name:EVANS, SARAH LYLLIS (MED, NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:LYLLIS
Last Name:EVANS
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 SAWDUST RD STE 331
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2916
Mailing Address - Country:US
Mailing Address - Phone:281-726-4231
Mailing Address - Fax:281-466-2443
Practice Address - Street 1:719 SAWDUST RD STE 331
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2916
Practice Address - Country:US
Practice Address - Phone:936-537-9081
Practice Address - Fax:281-715-4455
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YS0200X
TX65012101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool