Provider Demographics
NPI:1437399110
Name:CUMMINGS, SARAH GILLESPIE (LMFT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:GILLESPIE
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LESLEY
Other - Last Name:GILLESPIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:2600 SW 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-2610
Mailing Address - Country:US
Mailing Address - Phone:954-761-2641
Mailing Address - Fax:954-761-2673
Practice Address - Street 1:2600 SW 4TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-2610
Practice Address - Country:US
Practice Address - Phone:954-761-2641
Practice Address - Fax:954-761-2673
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1614106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist