MEDICARE: MRS. SARA PEREYRA LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	66195	TX

General Provider Information

NPI Number	:	1235403601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARA PEREYRA LPC

Provider Business Mailing Address
First Line	:	9401 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1407
Country	:	US
Telephone Number	:	713-970-7000
Fax Number	:	713-970-7246

Provider Business Practice Location Address
First Line	:	6032 AIRLINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-4210
Country	:	US
Telephone Number	:	713-970-7000
Fax Number	:	713-970-7246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2012
Last Update Date	:	07/21/2022

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