Healthcare Provider Details

I. General information

NPI: 1821710591
Provider Name (Legal Business Name): SARAH ELIZABETH NORVILLE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4749 ODOM RD
BEAUMONT TX
77706-7080
US

IV. Provider business mailing address

156 S MAIN ST STE 120
LUMBERTON TX
77657-7882
US

V. Phone/Fax

Practice location:
  • Phone: 409-200-2220
  • Fax:
Mailing address:
  • Phone: 409-200-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number204713
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: