Provider Demographics
NPI:1558605931
Name:ALLEN, SARAH CAROL (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CAROL
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 ROCKY MOUNTAIN CT
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-4361
Mailing Address - Country:US
Mailing Address - Phone:813-503-2061
Mailing Address - Fax:
Practice Address - Street 1:703 ROCKY MOUNTAIN CT
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-4361
Practice Address - Country:US
Practice Address - Phone:813-503-2061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-25
Last Update Date:2012-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10566101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health