| Sage Professional Consulting Corporation | |
|
Two Saint Mark's Pl Ste 147 La Grange TX 78945 | |
| (979) 530-8246 | |
| Not Available |
| Full Name | Sage Professional Consulting Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | Two Saint Mark's Pl Ste 147, La Grange, Texas |
| Authorized Official Name and Position | Suzanne Carlton Hart (DIRECTOR) |
| Authorized Official Contact | 9795308246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Professional Consulting Corporation Two Saint Mark's Pl Ste 147 La Grange TX 78945 Ph: (979) 530-8246 | Sage Professional Consulting Corporation Two Saint Mark's Pl Ste 147 La Grange TX 78945 Ph: (979) 530-8246 |
| NPI Number | 1770639379 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770639379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 33121 (Texas) | Primary |