Provider Demographics
NPI:1568299519
Name:SABIN, WILLIAM WHITNEY (LCDC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:WHITNEY
Last Name:SABIN
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3048 PHYLLIS LN
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRNCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-6427
Mailing Address - Country:US
Mailing Address - Phone:214-675-1805
Mailing Address - Fax:
Practice Address - Street 1:3048 PHYLLIS LN
Practice Address - Street 2:
Practice Address - City:FARMERS BRNCH
Practice Address - State:TX
Practice Address - Zip Code:75234-6427
Practice Address - Country:US
Practice Address - Phone:214-675-1805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15885101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)