Provider Demographics
NPI:1538484522
Name:SARTOR, TERI ANN (PHD, LPC, NCC, CHST)
Entity Type:Individual
Prefix:DR
First Name:TERI ANN
Middle Name:
Last Name:SARTOR
Suffix:
Gender:F
Credentials:PHD, LPC, NCC, CHST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 W BETHEL RD STE 202
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4475
Mailing Address - Country:US
Mailing Address - Phone:972-433-6521
Mailing Address - Fax:
Practice Address - Street 1:413 W BETHEL RD STE 202
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4475
Practice Address - Country:US
Practice Address - Phone:817-229-1183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62468101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX21 15297-01Medicaid