Provider Demographics
NPI:1487332227
Name:MUSIAL, SARAH NICOLE MAGUIRE (MS, LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE MAGUIRE
Last Name:MUSIAL
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:NICOLE
Other - Last Name:MAGUIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 741
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33846-0741
Mailing Address - Country:US
Mailing Address - Phone:352-577-9453
Mailing Address - Fax:
Practice Address - Street 1:4745 OLD ROAD 37
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2031
Practice Address - Country:US
Practice Address - Phone:352-577-9453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21326101Y00000X, 101YA0400X, 101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional