Basic Information
| Provider Information | |||||||||
| NPI: | 1801237052 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | APPLEWHITE | ||||||||
| FirstName: | SANDRA | ||||||||
| MiddleName: | SANDOVAL | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 N SAM HOUSTON PKWY W | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770674338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328281005 | ||||||||
| FaxNumber: | 8328250264 | ||||||||
| Practice Location | |||||||||
| Address1: | 700 N SAM HOUSTON PKWY W | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770674338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328281005 | ||||||||
| FaxNumber: | 8328250264 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2013 | ||||||||
| LastUpdateDate: | 07/16/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 26536 | TX | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.