Provider Demographics
NPI:1760919179
Name:CARR, SARA ASHLEY (LMHC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ASHLEY
Last Name:CARR
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 1:13919 CARROLLWOOD VILLAGE RUN STE 6
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2746
Mailing Address - Country:US
Mailing Address - Phone:813-390-3001
Mailing Address - Fax:
Practice Address - Street 1:13919 CARROLLWOOD VILLAGE RUN STE 6
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2746
Practice Address - Country:US
Practice Address - Phone:813-390-3001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
FLMH15080101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health