Provider Demographics
NPI:1578139309
Name:MAWDSLEY, SARAH EMELIA (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:EMELIA
Last Name:MAWDSLEY
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 1:2000 S LAKELINE BLVD APT 724
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3687
Mailing Address - Country:US
Mailing Address - Phone:512-413-2802
Mailing Address - Fax:
Practice Address - Street 1:1101 SATELLITE VW UNIT 603
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1592
Practice Address - Country:US
Practice Address - Phone:512-413-2802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68838101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health