Provider Demographics
NPI:1902696743
Name:SANAVIDA TELECOUNSELING PLLC
Entity type:Organization
Organization Name:SANAVIDA TELECOUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:540-688-6275
Mailing Address - Street 1:8423 JAYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-3244
Mailing Address - Country:US
Mailing Address - Phone:540-688-6275
Mailing Address - Fax:
Practice Address - Street 1:8423 JAYBROOK DR
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-3244
Practice Address - Country:US
Practice Address - Phone:540-688-6275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health