Provider Demographics
NPI:1134977416
Name:ELSADRE, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ELSADRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 MID LN STE 210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-4466
Mailing Address - Country:US
Mailing Address - Phone:281-837-6463
Mailing Address - Fax:281-837-0600
Practice Address - Street 1:2400 MID LN STE 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-4466
Practice Address - Country:US
Practice Address - Phone:281-837-6463
Practice Address - Fax:281-837-0600
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97578101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health