Provider Demographics
NPI:1871658245
Name:VILLINES, SONDRA JO (LPC)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:JO
Last Name:VILLINES
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 1:3401 N CALAIS ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-3103
Mailing Address - Country:US
Mailing Address - Phone:903-891-1915
Mailing Address - Fax:
Practice Address - Street 1:3401 N CALAIS ST
Practice Address - Street 2:SUITE B
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-3103
Practice Address - Country:US
Practice Address - Phone:903-891-1915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14533101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health