Provider Demographics
NPI:1437020518
Name:POYNOR, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:POYNOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2423 EARL RUDDER FWY S STE 400
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-6090
Mailing Address - Country:US
Mailing Address - Phone:956-607-0001
Mailing Address - Fax:
Practice Address - Street 1:2423 EARL RUDDER FWY S STE 400
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-6090
Practice Address - Country:US
Practice Address - Phone:956-607-0001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90816101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional