Provider Demographics
NPI:1467023424
Name:TOMLINSON, SARA ANNE (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANNE
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 GOLDEN LAKE LOOP
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32084-5864
Mailing Address - Country:US
Mailing Address - Phone:386-837-9686
Mailing Address - Fax:
Practice Address - Street 1:3910 LEWIS SPEEDWAY STE 1103
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-8649
Practice Address - Country:US
Practice Address - Phone:386-837-9686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19042101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor