Provider Demographics
NPI:1326916321
Name:MATHIS, SARAH BETHANY (LPC ASSOCIATE, ATR-P)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:BETHANY
Last Name:MATHIS
Suffix:
Gender:F
Credentials:LPC ASSOCIATE, ATR-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 GARNER AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-2851
Mailing Address - Country:US
Mailing Address - Phone:512-400-1347
Mailing Address - Fax:
Practice Address - Street 1:1300 W KOENIG LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-1424
Practice Address - Country:US
Practice Address - Phone:512-400-1347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98070101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional