NPI Code Details Logo

NPI 1265645188

NPI 1265645188 : SARA C SPOTSWOOD LPC-S : PLANO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265645188
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SARA C SPOTSWOOD LPC-S
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/07/2007
-----------------------------------------------------
    Last Update Date     |    11/03/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5445 LEGACY DR STE 270 
-----------------------------------------------------
    City                 |    PLANO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75024-3363
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    972-865-8782
-----------------------------------------------------
    Fax                  |    972-499-6935
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1041 EVERGLADES DR 
-----------------------------------------------------
    City                 |    ALLEN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75013-5651
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    804-405-5041
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    74572
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.