Provider Demographics
NPI:1205295508
Name:MACK, SARAH DRUMMOND (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:DRUMMOND
Last Name:MACK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21432 QUAIL POINT LN
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-5180
Mailing Address - Country:US
Mailing Address - Phone:832-658-5220
Mailing Address - Fax:281-821-6863
Practice Address - Street 1:2003 WW THORNE BLVD
Practice Address - Street 2:#TM-01
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-3301
Practice Address - Country:US
Practice Address - Phone:832-658-5220
Practice Address - Fax:281-821-6863
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX594251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical