Provider Demographics
NPI:1578884839
Name:WHITLOCK, SARAH (LPC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:WHITLOCK
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 1:901 MCGINTY ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-2509
Mailing Address - Country:US
Mailing Address - Phone:281-388-0214
Mailing Address - Fax:281-331-3796
Practice Address - Street 1:2001 CEDAR BAYOU RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-3724
Practice Address - Country:US
Practice Address - Phone:281-420-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62103101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional