Provider Demographics
NPI:1922368687
Name:EADS, SABRINA JASMYNE (LPC)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:JASMYNE
Last Name:EADS
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 1:1831 SHERWOOD FOREST ST APT 3
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-3010
Mailing Address - Country:US
Mailing Address - Phone:832-364-1831
Mailing Address - Fax:
Practice Address - Street 1:8888 W BELLFORT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2406
Practice Address - Country:US
Practice Address - Phone:713-929-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65984101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional