Provider Demographics
NPI:1891174728
Name:OLIVA, SARAH J (MS LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:OLIVA
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:J
Other - Last Name:FAILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2301 ELDORADO PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1856
Mailing Address - Country:US
Mailing Address - Phone:469-215-0314
Mailing Address - Fax:
Practice Address - Street 1:2301 ELDORADO PKWY STE 150
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-1856
Practice Address - Country:US
Practice Address - Phone:469-215-0314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YP2500X
TX83065101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health