Provider Demographics
NPI:1821288242
Name:HOOKS, SABRINA M (LCMFT)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:M
Last Name:HOOKS
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982 N TYLER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-3271
Mailing Address - Country:US
Mailing Address - Phone:316-721-8118
Mailing Address - Fax:316-721-8139
Practice Address - Street 1:982 N TYLER RD
Practice Address - Street 2:SUITE B
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3271
Practice Address - Country:US
Practice Address - Phone:316-721-8118
Practice Address - Fax:316-721-8139
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS752106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100117700AMedicaid