Provider Demographics
NPI:1487412847
Name:ALEXANDER, SARA LUANNE (MA, LPC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:LUANNE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77487-0104
Mailing Address - Country:US
Mailing Address - Phone:832-289-3658
Mailing Address - Fax:
Practice Address - Street 1:2318 WATERWOOD DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-8902
Practice Address - Country:US
Practice Address - Phone:832-289-3658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72120101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor