Healthcare Provider Details

I. General information

NPI: 1255296851
Provider Name (Legal Business Name): SARAH LARSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6971 N FEDERAL HWY STE 206
BOCA RATON FL
33487-1648
US

IV. Provider business mailing address

6971 N FEDERAL HWY STE 206
BOCA RATON FL
33487-1648
US

V. Phone/Fax

Practice location:
  • Phone: 561-408-1098
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number27149
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number27149
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: