Provider Demographics
NPI:1457179046
Name:LEWIS, SARAH A (MS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10918 BROOKESHIRE CHASE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-4023
Mailing Address - Country:US
Mailing Address - Phone:346-978-8515
Mailing Address - Fax:
Practice Address - Street 1:10918 BROOKESHIRE CHASE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-4023
Practice Address - Country:US
Practice Address - Phone:346-978-8515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93760101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional