Provider Demographics
NPI:1992860258
Name:WATTS SAFAR, SARA (MA, LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:
Last Name:WATTS SAFAR
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4120 INTERNATIONAL PKWY
Mailing Address - Street 2:SUITE 1150
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1957
Mailing Address - Country:US
Mailing Address - Phone:972-951-5152
Mailing Address - Fax:972-781-2912
Practice Address - Street 1:4120 INTERNATIONAL PKWY
Practice Address - Street 2:SUITE 1150
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1957
Practice Address - Country:US
Practice Address - Phone:972-951-5152
Practice Address - Fax:972-781-2912
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1196101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional