Provider Demographics
NPI:1891466926
Name:MARION, SARAH LYNN (LMHC, LMFT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:MARION
Suffix:
Gender:F
Credentials:LMHC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 MCKINNEY ST
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-2534
Mailing Address - Country:US
Mailing Address - Phone:850-279-4576
Mailing Address - Fax:
Practice Address - Street 1:603 MCKINNEY ST
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-2534
Practice Address - Country:US
Practice Address - Phone:850-279-4576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4176106H00000X
FLMH19771101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health