Provider Demographics
NPI:1508002536
Name:FLEMING-SIEGRIST, SARAH L (CAP, LMHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:FLEMING-SIEGRIST
Suffix:
Gender:F
Credentials:CAP, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 BURNT OAK ST
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-3832
Mailing Address - Country:US
Mailing Address - Phone:727-298-3903
Mailing Address - Fax:
Practice Address - Street 1:1615 UNION ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755-1363
Practice Address - Country:US
Practice Address - Phone:727-298-3903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3061101YA0400X
FLMH 8852101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)