Provider Demographics
NPI:1467799874
Name:PAULICK, SARAH CATHERINE (LMHC, CCTP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHERINE
Last Name:PAULICK
Suffix:
Gender:F
Credentials:LMHC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 SW FEDERAL HWY STE 200B
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2952
Mailing Address - Country:US
Mailing Address - Phone:772-324-1950
Mailing Address - Fax:
Practice Address - Street 1:9073 SE BRIDGE RD
Practice Address - Street 2:SUITE B
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-5333
Practice Address - Country:US
Practice Address - Phone:772-324-1950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016815100Medicaid