MEDICARE: SARA MCGANN MCRC, CRC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	83126	TX

General Provider Information

NPI Number	:	1912691585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA MCGANN MCRC, CRC, LPC

Provider Business Mailing Address
First Line	:	PO BOX 540088
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32854-0088
Country	:	US
Telephone Number	:	214-998-9791
Fax Number	:

Provider Business Practice Location Address
First Line	:	2218 ELIZABETH AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5462
Country	:	US
Telephone Number	:	972-733-3988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	01/03/2025

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