Provider Demographics
NPI:1548775646
Name:DA SILVA, SABRINA JOELLE (MS, NCC, LPC, LMHC)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:JOELLE
Last Name:DA SILVA
Suffix:
Gender:F
Credentials:MS, NCC, LPC, LMHC
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:JOELLE
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LPC, LMHC
Mailing Address - Street 1:300 S PINE ISLAND RD STE 217
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2620
Mailing Address - Country:US
Mailing Address - Phone:754-366-0720
Mailing Address - Fax:
Practice Address - Street 1:300 S PINE ISLAND RD STE 217
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2620
Practice Address - Country:US
Practice Address - Phone:754-366-0720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006794101YP2500X
FLMH14309101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional