Provider Demographics
NPI:1255500120
Name:ATKINSON, SARAH (LMHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4715 NW 53RD AVE
Mailing Address - Street 2:UNIT B
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-4856
Mailing Address - Country:US
Mailing Address - Phone:352-575-8344
Mailing Address - Fax:352-505-2494
Practice Address - Street 1:4715 NW 53RD AVE
Practice Address - Street 2:UNIT B
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653-4856
Practice Address - Country:US
Practice Address - Phone:352-575-8344
Practice Address - Fax:352-505-2494
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9295101YM0800X
FLMT2959106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMT2959OtherLMFT
FLMH9295OtherLMHC