Provider Demographics
NPI:1700354222
Name:WEBSTER, SANDI (LMHC)
Entity Type:Individual
Prefix:
First Name:SANDI
Middle Name:
Last Name:WEBSTER
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 1:1050 US HIGHWAY 27 STE 9
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34714-7508
Mailing Address - Country:US
Mailing Address - Phone:352-394-0573
Mailing Address - Fax:407-650-3073
Practice Address - Street 1:1050 US HIGHWAY 27 STE 9
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-7508
Practice Address - Country:US
Practice Address - Phone:352-394-0573
Practice Address - Fax:407-650-3073
Is Sole Proprietor?:No
Enumeration Date:2018-11-02
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health