Healthcare Provider Details

I. General information

NPI: 1275815805
Provider Name (Legal Business Name): SAGUINN JOHNSON LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 S SWOOPE AVE STE 110
MAITLAND FL
32751-5784
US

IV. Provider business mailing address

3068 FOXHILL CIR APT 204
APOPKA FL
32703-8150
US

V. Phone/Fax

Practice location:
  • Phone: 407-622-0444
  • Fax:
Mailing address:
  • Phone: 407-468-7515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH14776
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: