Provider Demographics
NPI:1851781785
Name:MCARTHUR, SABLE NICHOLE
Entity Type:Individual
Prefix:
First Name:SABLE
Middle Name:NICHOLE
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SABLE
Other - Middle Name:NICHOLE
Other - Last Name:GALINDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 361
Mailing Address - Street 2:
Mailing Address - City:LULING
Mailing Address - State:TX
Mailing Address - Zip Code:78648-0361
Mailing Address - Country:US
Mailing Address - Phone:512-406-1196
Mailing Address - Fax:
Practice Address - Street 1:20800 FM 150 W
Practice Address - Street 2:
Practice Address - City:DRIFTWOOD
Practice Address - State:TX
Practice Address - Zip Code:78619-9202
Practice Address - Country:US
Practice Address - Phone:512-406-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX556611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical