Provider Demographics
NPI:1821890237
Name:FONTENOT, SARAH NICOLE (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:FONTENOT
Suffix:
Gender:
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 PLATEAU VISTA BLVD APT 7201
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3768
Mailing Address - Country:US
Mailing Address - Phone:512-787-0225
Mailing Address - Fax:
Practice Address - Street 1:1800 PLATEAU VISTA BLVD APT 7201
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3768
Practice Address - Country:US
Practice Address - Phone:512-787-0225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91653101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health