Provider Demographics
NPI:1790094563
Name:MCCONNELL, SARAH (LMFTA)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 LATEXO DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-1747
Mailing Address - Country:US
Mailing Address - Phone:832-646-3869
Mailing Address - Fax:
Practice Address - Street 1:SPECTRUM CENTER, 4100 WESTHEIMER ROAD
Practice Address - Street 2:SUITE 233
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027
Practice Address - Country:US
Practice Address - Phone:832-356-8580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201691106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist