Provider Demographics
NPI:1891976684
Name:SAWYER, SHARI MALINDA (LPC)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:MALINDA
Last Name:SAWYER
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 1:3610 AVENUE Q STE 225
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412-1248
Mailing Address - Country:US
Mailing Address - Phone:806-749-3300
Mailing Address - Fax:806-749-3301
Practice Address - Street 1:3610 AVENUE Q STE 225
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-1248
Practice Address - Country:US
Practice Address - Phone:806-749-3300
Practice Address - Fax:806-749-3301
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17829101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161556902Medicaid