Provider Demographics
NPI:1740643642
Name:SGA SERVICES TEXAS, LLC
Entity type:Organization
Organization Name:SGA SERVICES TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:713-818-5374
Mailing Address - Street 1:PO BOX 924705
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77292-4705
Mailing Address - Country:US
Mailing Address - Phone:713-818-5374
Mailing Address - Fax:832-553-2546
Practice Address - Street 1:2200 NORTH LOOP W
Practice Address - Street 2:SUITE 351
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8009
Practice Address - Country:US
Practice Address - Phone:713-818-5374
Practice Address - Fax:832-553-2546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX537521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty