Doctor Name: | SARAH WIND |
NPI Number: | 1023453412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-LCDC |
License Number: | 11784 |
Business Practice Address: | 123 Rosenberg St Ste 6 Galveston, TX - 775501494 |
Business Phone Number: | 4097622373 |
Business Fax Number: | |
Mailing Address: | 12700 Stafford Rd, STAFFORD |
State: | TX |
Postal Code: | 774773568 |
Phone Number: | 4099444337 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2013 |
NPI Last Update Date: | 04/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 11784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |