Provider Demographics
NPI:1437986346
Name:ROSA, SARAH CHRISTINE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CHRISTINE
Last Name:ROSA
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 1:2500 LEE RD APT 112
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1703
Mailing Address - Country:US
Mailing Address - Phone:567-395-5269
Mailing Address - Fax:
Practice Address - Street 1:2700 WESTHALL LN STE 118
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7451
Practice Address - Country:US
Practice Address - Phone:407-707-6441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH24059101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty