Provider Demographics
NPI:1407210065
Name:SENTER, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SENTER
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 1:8 SORRENTO DR
Mailing Address - Street 2:SUITE 13
Mailing Address - City:OSPREY
Mailing Address - State:FL
Mailing Address - Zip Code:34229-9610
Mailing Address - Country:US
Mailing Address - Phone:941-786-7961
Mailing Address - Fax:
Practice Address - Street 1:8 SORRENTO DR
Practice Address - Street 2:SUITE 13
Practice Address - City:OSPREY
Practice Address - State:FL
Practice Address - Zip Code:34229-9610
Practice Address - Country:US
Practice Address - Phone:941-786-7961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13894101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health