Healthcare Provider Details

I. General information

NPI: 1114296852
Provider Name (Legal Business Name): JANET KRISTINE SANVE M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2011
Last Update Date: 12/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 E PINE AVE
COLDSPRING TX
77331-7507
US

IV. Provider business mailing address

PO BOX 1313
COLDSPRING TX
77331-1313
US

V. Phone/Fax

Practice location:
  • Phone: 281-622-7232
  • Fax:
Mailing address:
  • Phone: 281-622-7232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6170
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: