Provider Demographics
NPI:1780892356
Name:VILLEGAS, SANDRA BARRERA (LCDC, CART)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:BARRERA
Last Name:VILLEGAS
Suffix:
Gender:F
Credentials:LCDC, CART
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:BARRERA
Other - Last Name:VILLANUEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCDC, CART
Mailing Address - Street 1:225 LA LAJA DR
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77515-3808
Mailing Address - Country:US
Mailing Address - Phone:979-849-6125
Mailing Address - Fax:979-549-9068
Practice Address - Street 1:744 W HENDERSON RD
Practice Address - Street 2:
Practice Address - City:ANGLETON
Practice Address - State:TX
Practice Address - Zip Code:77515-2704
Practice Address - Country:US
Practice Address - Phone:979-549-9000
Practice Address - Fax:979-549-9068
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10157101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)