Provider Demographics
NPI:1194870758
Name:KOVICH, SARAH J (LPC)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:J
Last Name:KOVICH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6370 LYNDON B JOHNSON FWY
Mailing Address - Street 2:STE. # 272
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6459
Mailing Address - Country:US
Mailing Address - Phone:972-385-6400
Mailing Address - Fax:972-385-3907
Practice Address - Street 1:6370 LYNDON B JOHNSON FWY
Practice Address - Street 2:STE. # 272
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6459
Practice Address - Country:US
Practice Address - Phone:972-385-6400
Practice Address - Fax:972-385-3907
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10397101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional