MEDICARE: MISS SARAH ALI 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	62617	TX

General Provider Information

NPI Number	:	1538312673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SARAH ALI LPC

Provider Business Mailing Address
First Line	:	3425 HIGHWAY 6 STE 107A
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4439
Country	:	US
Telephone Number	:	281-240-7102
Fax Number	:

Provider Business Practice Location Address
First Line	:	3425 HIGHWAY 6 STE 107A
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4439
Country	:	US
Telephone Number	:	281-773-4071
Fax Number	:

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

Provider Enumeration Date	:	11/03/2008
Last Update Date	:	09/05/2013

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