Provider Demographics
NPI:1275733362
Name:FLORES, SARA GUALDONI (MA LMHC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:GUALDONI
Last Name:FLORES
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22220 BOCA RANCHO DR APT C
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4314
Mailing Address - Country:US
Mailing Address - Phone:904-318-2144
Mailing Address - Fax:
Practice Address - Street 1:9191 STIRLING RD
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-5830
Practice Address - Country:US
Practice Address - Phone:954-680-9191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8649101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health