Provider Demographics
NPI:1073663951
Name:PHILLIPS, SARAH BENZ (NCC,LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BENZ
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:NCC,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 E ROBINSON ST STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2004
Mailing Address - Country:US
Mailing Address - Phone:800-544-1817
Mailing Address - Fax:407-843-1860
Practice Address - Street 1:1021 E ROBINSON ST STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-2004
Practice Address - Country:US
Practice Address - Phone:800-544-1817
Practice Address - Fax:407-843-1860
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2719101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health