Provider Demographics
NPI:1801297676
Name:BUNETT, SARAH (MS, LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BUNETT
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2989 W SR 434 STE 500
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4464
Mailing Address - Country:US
Mailing Address - Phone:407-274-8727
Mailing Address - Fax:
Practice Address - Street 1:2989 W SR 434 STE 500
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4464
Practice Address - Country:US
Practice Address - Phone:407-274-8727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16161101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health