Healthcare Provider Details

I. General information

NPI: 1487568101
Provider Name (Legal Business Name): SARA MAYHEW-GREENE RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7106 NW 11TH PL STE B
GAINESVILLE FL
32605-3140
US

IV. Provider business mailing address

7106 NW 11TH PL STE B
GAINESVILLE FL
32605-3140
US

V. Phone/Fax

Practice location:
  • Phone: 904-434-5701
  • Fax:
Mailing address:
  • Phone: 352-660-4142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH29537
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: