Provider Demographics
NPI:1316609613
Name:ATKINS, SANDRA KAYE (LPC-A)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:KAYE
Last Name:ATKINS
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:KAYE
Other - Last Name:MORROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2103 CHANCE DR APT 1
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-2372
Mailing Address - Country:US
Mailing Address - Phone:956-330-9983
Mailing Address - Fax:
Practice Address - Street 1:4001 MAPLE AVE STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-3241
Practice Address - Country:US
Practice Address - Phone:561-841-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86244101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional