Sandra Farahani I, LPC, LCDC
Individual provider Active NPI Professional Counselor · Tioga, TX
NPI 1013497320 · NPPES record last updated Aug 16, 2018
Key facts
- NPI
- 1013497320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 74682 (TX)
- Practice address
- 100 S. Texas St.
Tioga, TX 76271 - Phone
- (940) 229-5020
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74682 | TX | MD | Professional Counselor |
| 13132 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandra Farahani | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13132 | TX | |
| Professional Counselor | 101YP2500X | 74682 | TX | Yes |
Addresses
Primary practice location
100 S. Texas St.
Tioga, TX 76271
Mailing address
105 Winchester Rd
Oak Point, TX 75068-2214
Phone (469) 328-1363
Other practice location 1
105 Winchester Rd
Oak Point, TX 75068-2214
Phone (469) 328-1363
Other practice location 2
9300 John Hickman Pkwy Ste 904
Frisco, TX 75035-5894
Phone (469) 328-1363
Other providers in Tioga, TX
- 2D Farms Inc.
- Jeffrey L. Casart
- Theresa Marie Donsbach
- John Edmonson
- Samuel R Garner
- Healing Springs Ranch
- Sarah Mitchell
- SKRX LLC
- Tioga EMS Inc
All providers in Tioga, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.