Sandi Lea Sage in Jacksonville - Mental Health

Sandi Lea Sage - NPI 1417144452

Sandi Lea Sage is a Mental Health in Jacksonville, Florida. Sandi Lea Sage practices all healthcare services and medical treatments related to Mental Health. 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
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
Provider Enumeration Date 2007-10-03
Last Updated Date 2011-03-16

Provider Mailing Address Detail

Address 10752 Deerwood Park Blvd
City Jacksonville
State Florida (FL)
Post Code 322564849
Phone Number 9043942903
Fax Number 9043942904

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No MH5353
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z0439 FL BCBS FL

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FAQs about Sandi Lea Sage

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 Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.

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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