Provider Demographics
NPI:1063830107
Name:ROBILOTTA, SARAH (LMHC, LPCC, LCPP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:ROBILOTTA
Suffix:
Gender:F
Credentials:LMHC, LPCC, LCPP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:GHOLAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:413 STORYBROOK PT
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA
Mailing Address - State:FL
Mailing Address - Zip Code:32081-5752
Mailing Address - Country:US
Mailing Address - Phone:904-612-2213
Mailing Address - Fax:
Practice Address - Street 1:413 STORYBROOK PT
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA
Practice Address - State:FL
Practice Address - Zip Code:32081
Practice Address - Country:US
Practice Address - Phone:904-612-2213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-05
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-8687101YM0800X
CA12064101YM0800X
FLMH12098101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health