Provider Demographics
NPI:1679361844
Name:ATAPATTU, SARA (LMHC)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:ATAPATTU
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9614 PONDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4307
Mailing Address - Country:US
Mailing Address - Phone:954-729-3324
Mailing Address - Fax:
Practice Address - Street 1:9614 PONDWOOD RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-4307
Practice Address - Country:US
Practice Address - Phone:954-729-3324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18531101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health