Provider Demographics
NPI:1568218204
Name:AGBILAY, SARAH MAE GARCIA
Entity Type:Individual
Prefix:
First Name:SARAH MAE
Middle Name:GARCIA
Last Name:AGBILAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAE
Other - Middle Name:
Other - Last Name:AGBILAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2470 SAINT ROSE PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7773
Mailing Address - Country:US
Mailing Address - Phone:702-919-9515
Mailing Address - Fax:
Practice Address - Street 1:2470 SAINT ROSE PKWY STE 101
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7773
Practice Address - Country:US
Practice Address - Phone:702-919-9515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical