Provider Demographics
NPI:1134426455
Name:SAVAGE, CAROL ANNE (LMHC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANNE
Last Name:SAVAGE
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:PO BOX 952464
Mailing Address - Street 2:PO BOX 952464
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32795-2464
Mailing Address - Country:US
Mailing Address - Phone:407-402-6717
Mailing Address - Fax:407-880-4344
Practice Address - Street 1:838 SILK OAK TER
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:407-402-6717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10583101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health