Provider Demographics
NPI:1205509023
Name:KONES, SABRINA LEE (PMHNP-BC, LCSW)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:LEE
Last Name:KONES
Suffix:
Gender:F
Credentials:PMHNP-BC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5620 STEVEN CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78721-3030
Mailing Address - Country:US
Mailing Address - Phone:512-296-6806
Mailing Address - Fax:
Practice Address - Street 1:2525 WALLINGWOOD DR BLDG 7D
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6900
Practice Address - Country:US
Practice Address - Phone:512-296-6806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1048560363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty