Provider Demographics
NPI:1902640196
Name:POE, SARAH (LPC-A)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:POE
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 1:2722 ARBOR EDGE XING
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77568-1367
Mailing Address - Country:US
Mailing Address - Phone:713-825-0252
Mailing Address - Fax:
Practice Address - Street 1:2722 ARBOR EDGE XING
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77568-1367
Practice Address - Country:US
Practice Address - Phone:713-825-0252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-21
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95560101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional