Sandi Lea Sage in Jacksonville - Addiction (substance Use Disorder)
Sandi Lea Sage - NPI 1417144452
Sandi Lea Sage is a Addiction (substance Use Disorder) in Jacksonville, Florida. Sandi Lea Sage practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sandi Lea Sage is 1417144452. The last update date is 2011-03-16.
Sandi Lea Sage's current location address is 10752 Deerwood Park Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043942903 and fax number 9043942904. The mailing address for Sandi Lea Sage is 10752 Deerwood Park Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sandi Lea Sage |
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Address | 10752 Deerwood Park Blvd, Jacksonville, Florida |
Phone Number | 9043942903 |
Fax Number | 9043942904 |
Sole Proprietor | Y |
Credentials | PH.D, LMHC |
NPI Number Detail
NPI Number | 1417144452 |
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Provider Enumeration Date | 2007-10-03 |
Last Updated Date | 2011-03-16 |
Provider Mailing Address Detail
Address | 10752 Deerwood Park Blvd |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322564849 |
Phone Number | 9043942903 |
Fax Number | 9043942904 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | MH5353 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
Z0439 | FL | BCBS FL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sandi Lea Sage by the Centers for Medicare & Medicaid Services?
The Sandi Lea Sage has been issued the NPI (National Provider Identifier) 1417144452, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Sandi Lea Sage is physically located?
The Sandi Lea Sage is physically situated at the following address: 10752 Deerwood Park Blvd, Jacksonville, FL, 322564849.
What is Sandi Lea Sage's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sandi Lea Sage's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417144452 to Sandi Lea Sage?
The Centers for Medicare & Medicaid Services originally issued the 1417144452 to Sandi Lea Sage on 2007-10-03.
As of what date was the information pertaining to Sandi Lea Sage, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sandi Lea Sage, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-03-16.
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