Provider Demographics
NPI:1730662495
Name:ALI, SANA MANZOOR (LPC)
Entity Type:Individual
Prefix:
First Name:SANA
Middle Name:MANZOOR
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 1:2200 MARKET ST STE 600
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-1532
Mailing Address - Country:US
Mailing Address - Phone:409-762-8636
Mailing Address - Fax:
Practice Address - Street 1:2200 MARKET ST STE 600
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-1532
Practice Address - Country:US
Practice Address - Phone:409-762-8636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75486101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional