Healthcare Provider Details

I. General information

NPI: 1083586705
Provider Name (Legal Business Name): SARAH RUTHERFORD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W WOODARD ST STE 201
DENISON TX
75020-3276
US

IV. Provider business mailing address

305 W WOODARD ST STE 209
DENISON TX
75020-3276
US

V. Phone/Fax

Practice location:
  • Phone: 903-265-8545
  • Fax: 903-487-0600
Mailing address:
  • Phone: 903-265-8545
  • Fax: 903-487-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number91734
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: