Provider Demographics
NPI:1831728534
Name:SPOWART, SARA (PHD, MFT, MPA)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SPOWART
Suffix:
Gender:F
Credentials:PHD, MFT, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 HARBOUR PLACE DR APT 3103
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-6760
Mailing Address - Country:US
Mailing Address - Phone:813-739-9168
Mailing Address - Fax:
Practice Address - Street 1:302 HARBOUR PLACE DR APT 3103
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-6760
Practice Address - Country:US
Practice Address - Phone:813-739-9168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-04
Last Update Date:2020-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT3265101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health