Provider Demographics
NPI:1750476214
Name:MARTINEZ, SARA IRINA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:IRINA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:SARA MARTINEZ LMHC
Mailing Address - Street 2:21301 POWERLINE ROAD-SUITE 209
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433
Mailing Address - Country:US
Mailing Address - Phone:561-901-7700
Mailing Address - Fax:954-427-1312
Practice Address - Street 1:298 SW 3RD STREET
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432
Practice Address - Country:US
Practice Address - Phone:561-470-2217
Practice Address - Fax:954-427-1312
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6255101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health