Healthcare Provider Details

I. General information

NPI: 1548792005
Provider Name (Legal Business Name): SONJA VARNER-ALSTON DMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 N WESTMONTE DR
ALTAMONTE SPRINGS FL
32714-3345
US

IV. Provider business mailing address

PO BOX 101
APOPKA FL
32704-0101
US

V. Phone/Fax

Practice location:
  • Phone: 407-335-0059
  • Fax:
Mailing address:
  • Phone: 407-335-0059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCM636
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: