MEDICARE: SARAH J PADELSKI 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	87414	TX

General Provider Information

NPI Number	:	1467135327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH J PADELSKI LPC

Provider Business Mailing Address
First Line	:	4827 CREEKSIDE HAVEN TRL
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-1848
Country	:	US
Telephone Number	:	484-538-5241
Fax Number	:

Provider Business Practice Location Address
First Line	:	4827 CREEKSIDE HAVEN TRL
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-1848
Country	:	US
Telephone Number	:	484-538-5241
Fax Number	:

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

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	08/08/2023

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