Organization
SARA A CANTU CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA ANNE CANTU LPC-S RPT-S (OWNER)
(214) 288-0202
Entity
Organization
Contact information
Practice address
1751 BROAD PARK CIR S, SUITE 207, MANSFIELD, TX 76063-7826
(214) 288-0202
(817) 473-7787
Mailing address
401 MEADOWBROOK DR, ARLINGTON, TX 76010-2035
(214) 288-0202
(817) 473-7787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285934711
NPI1
—
Enumeration date
03/21/2013
Last updated
03/21/2013
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