Healthcare Provider Details

I. General information

NPI: 1740724939
Provider Name (Legal Business Name): SARAH RITCHEA LICENSED PROFESSIONA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6502 NURSERY DR. SUITE 100
VICTORIA TX
77904
US

IV. Provider business mailing address

6502 NURSERY DR STE 100
VICTORIA TX
77904-1181
US

V. Phone/Fax

Practice location:
  • Phone: 361-575-0611
  • Fax: 361-575-0626
Mailing address:
  • Phone: 361-575-0611
  • Fax: 361-575-0626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number70186
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC61531518
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: