Provider Demographics
NPI:1134915531
Name:EDDIE, SANNA (LPC)
Entity type:Individual
Prefix:MS
First Name:SANNA
Middle Name:
Last Name:EDDIE
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7012 PARK GREEN DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-6790
Mailing Address - Country:US
Mailing Address - Phone:817-229-9259
Mailing Address - Fax:
Practice Address - Street 1:7012 PARK GREEN DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-6790
Practice Address - Country:US
Practice Address - Phone:817-229-9259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91340101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional