Provider Demographics
NPI:1205149903
Name:LOWERY, SASCHA (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:SASCHA
Middle Name:
Last Name:LOWERY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:SASCHA
Other - Middle Name:LOWERY
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-S
Mailing Address - Street 1:580 S DENTON TAP RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4098
Mailing Address - Country:US
Mailing Address - Phone:972-304-1604
Mailing Address - Fax:972-304-1471
Practice Address - Street 1:580 S DENTON TAP RD
Practice Address - Street 2:SUITE 250
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4098
Practice Address - Country:US
Practice Address - Phone:972-304-1604
Practice Address - Fax:972-304-1471
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64855101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional