Provider Demographics
NPI:1548959943
Name:WHILBY, SAKENA
Entity type:Individual
Prefix:
First Name:SAKENA
Middle Name:
Last Name:WHILBY
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 1:12655 W HOUSTON CENTER BLVD APT 10108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2872
Mailing Address - Country:US
Mailing Address - Phone:954-736-8386
Mailing Address - Fax:
Practice Address - Street 1:7703 N LAMAR BLVD STE 500
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1055
Practice Address - Country:US
Practice Address - Phone:512-522-7524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88729101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health