Provider Demographics
NPI:1194926683
Name:SCHOLLS, SANDRA LANE (LPC-S, LMFT, NCC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:LANE
Last Name:SCHOLLS
Suffix:
Gender:F
Credentials:LPC-S, LMFT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 S BOWEN RD STE 105
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-2202
Mailing Address - Country:US
Mailing Address - Phone:817-475-7221
Mailing Address - Fax:817-276-1087
Practice Address - Street 1:1211 S BOWEN RD STE 105
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-2202
Practice Address - Country:US
Practice Address - Phone:817-475-7221
Practice Address - Fax:817-276-1087
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01017101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional