Provider Demographics
NPI:1932440419
Name:NOTTINGHAM, SABRINA LOVELY (MA, RMHCI)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:LOVELY
Last Name:NOTTINGHAM
Suffix:
Gender:F
Credentials:MA, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:664 SW 35TH ST
Mailing Address - Street 2:#4
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-3659
Mailing Address - Country:US
Mailing Address - Phone:772-200-5757
Mailing Address - Fax:
Practice Address - Street 1:664 SW 35TH ST
Practice Address - Street 2:#4
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-3659
Practice Address - Country:US
Practice Address - Phone:772-200-5757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH9946101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health