Provider Demographics
NPI:1124568555
Name:BARRERA, SARAH R (MA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:R
Last Name:BARRERA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 US 92 E
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33801-2448
Mailing Address - Country:US
Mailing Address - Phone:708-466-5491
Mailing Address - Fax:
Practice Address - Street 1:2240 US 92 E
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-2448
Practice Address - Country:US
Practice Address - Phone:708-466-5491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-04
Last Update Date:2017-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health