Provider Demographics
NPI:1780425678
Name:SAGRANI, KERRIE ANN MARIE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:KERRIE
Middle Name:ANN MARIE
Last Name:SAGRANI
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 1:2208 N HALIFAX AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32118-3350
Mailing Address - Country:US
Mailing Address - Phone:386-871-5758
Mailing Address - Fax:
Practice Address - Street 1:2208 N HALIFAX AVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32118-3350
Practice Address - Country:US
Practice Address - Phone:386-871-5758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9826101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health