Healthcare Provider Details

I. General information

NPI: 1285545186
Provider Name (Legal Business Name): OLIVIA SIERRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9734 W SAMPLE RD
CORAL SPRINGS FL
33065-4004
US

IV. Provider business mailing address

9734 W SAMPLE RD
CORAL SPRINGS FL
33065-4004
US

V. Phone/Fax

Practice location:
  • Phone: 954-903-1323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW27043
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: