Provider Demographics
NPI:1912545997
Name:DAVILA, SARAH E (LPC-S)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:DAVILA
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4626 LA ESCALONA DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4698
Mailing Address - Country:US
Mailing Address - Phone:512-787-9423
Mailing Address - Fax:
Practice Address - Street 1:1120 NASA PKWY STE 220C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3342
Practice Address - Country:US
Practice Address - Phone:832-390-0896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65123101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional