DR. SANDI LEA SAGE PH.D LMHC NPI 1417144452

NPI Information

NPI: 1417144452
Provider Name: DR. SANDI LEA SAGE, PH.D, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
10752 DEERWOOD PARK BLVD
SUITE 100
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 394-2903
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DR. Sandi Lea Sage, PH.D, LMHC is a mental health counselor in Jacksonville, FL. DR. Sandi Lea Sage, PH.D, LMHC NPI is 1417144452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10752 DEERWOOD PARK BLVD
SUITE 100
JACKSONVILLE, FL
ZIP 32256-849
Phone: (904) 394-2903
Fax: (904) 394-2904

The enumeration date for this NPI number is 10/3/2007 and was last updated on 3/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MH5353	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	MH5353	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z0439	OTHER	FLORIDA	BCBS FL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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