Provider Demographics
NPI:1619560141
Name:ALI, SARA MAHMOOD (LPC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MAHMOOD
Last Name:ALI
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 1:19902 SONTERRA LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1916
Mailing Address - Country:US
Mailing Address - Phone:713-585-5893
Mailing Address - Fax:
Practice Address - Street 1:19902 SONTERRA LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1916
Practice Address - Country:US
Practice Address - Phone:713-585-5893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-16
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional