Provider Demographics
NPI:1780166546
Name:YORK, SARAH S (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:S
Last Name:YORK
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7557 RAMBLER RD STE 1015
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2380
Mailing Address - Country:US
Mailing Address - Phone:214-295-4885
Mailing Address - Fax:
Practice Address - Street 1:7557 RAMBLER RD STE 1015
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2380
Practice Address - Country:US
Practice Address - Phone:214-295-4885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71868101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty