Provider Demographics
NPI:1720591761
Name:BROWN, SARAH (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCDC
Mailing Address - Street 1:110 W HUNDLEY DR APT 2
Mailing Address - Street 2:
Mailing Address - City:LAKE DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75065-2598
Mailing Address - Country:US
Mailing Address - Phone:940-206-5944
Mailing Address - Fax:
Practice Address - Street 1:110 W HUNDLEY DR APT 2
Practice Address - Street 2:
Practice Address - City:LAKE DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75065-2598
Practice Address - Country:US
Practice Address - Phone:940-206-5944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2022-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 171M00000X
TX11451101YA0400X
TX83544101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional