Provider Demographics
NPI:1649807165
Name:MERRITT, SARAH (MS, MCAP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MERRITT
Suffix:
Gender:F
Credentials:MS, MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5951 CLARK CENTER AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-2717
Mailing Address - Country:US
Mailing Address - Phone:941-554-4551
Mailing Address - Fax:
Practice Address - Street 1:5951 CLARK CENTER AVE UNIT B
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-2717
Practice Address - Country:US
Practice Address - Phone:941-554-4551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)