Provider Demographics
NPI:1093465148
Name:TOUSSAINT, SARA R
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:R
Last Name:TOUSSAINT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1885 JEWELL AVE APT 371
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5587
Mailing Address - Country:US
Mailing Address - Phone:156-193-2767
Mailing Address - Fax:
Practice Address - Street 1:1885 JEWELL AVE APT 371
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-5587
Practice Address - Country:US
Practice Address - Phone:156-193-2767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool