Provider Demographics
NPI:1780309724
Name:HNILICA, SARA M (LMHC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:HNILICA
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 1:253 NE 2ND ST APT 317S
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-2288
Mailing Address - Country:US
Mailing Address - Phone:865-242-0121
Mailing Address - Fax:
Practice Address - Street 1:253 NE 2ND ST APT 317S
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-2288
Practice Address - Country:US
Practice Address - Phone:865-242-0121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18655101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health