Provider Demographics
NPI:1750157806
Name:ATHERTON, SARAH ALICE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ALICE
Last Name:ATHERTON
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 1:559 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-3638
Mailing Address - Country:US
Mailing Address - Phone:407-227-2102
Mailing Address - Fax:
Practice Address - Street 1:853 STATE ROAD 436 STE 2003
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5479
Practice Address - Country:US
Practice Address - Phone:407-449-2830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8140101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health