Provider Demographics
NPI:1568299485
Name:EDWARDS, SARAH REBECCA (LPC-A)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:REBECCA
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1132 PARKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1807
Mailing Address - Country:US
Mailing Address - Phone:214-886-7540
Mailing Address - Fax:
Practice Address - Street 1:5750 GENESIS CT
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4168
Practice Address - Country:US
Practice Address - Phone:214-886-7540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96396101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional