Organization
SARAH LANE COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LANE LPC (OWNER)
(940) 200-3199
Entity
Organization
Contact information
Practice address
4321 PARK CREEK CIR N, FORT WORTH, TX 76137-4500
(940) 200-3199
Mailing address
4321 PARK CREEK CIR N, FORT WORTH, TX 76137-4500
(940) 200-3199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/06/2023
Last updated
03/27/2024
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