Provider Demographics
NPI:1487453452
Name:SARG, DIANA (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:SARG
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 PEBBLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76148-1815
Mailing Address - Country:US
Mailing Address - Phone:817-505-8047
Mailing Address - Fax:
Practice Address - Street 1:2670 FIREWHEEL DR STE B
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-7596
Practice Address - Country:US
Practice Address - Phone:682-337-0624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95875101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional