Provider Demographics
NPI:1023419413
Name:SMITH, SARAH REGISTER (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:REGISTER
Last Name:SMITH
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 1:38 SULLIVANS LNDG
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6289
Mailing Address - Country:US
Mailing Address - Phone:281-804-9047
Mailing Address - Fax:
Practice Address - Street 1:1418 MARSHALL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-4126
Practice Address - Country:US
Practice Address - Phone:713-942-2330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63287101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional