Healthcare Provider Details

I. General information

NPI: 1497271928
Provider Name (Legal Business Name): SARA OCHOA RMFTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2017
Last Update Date: 06/19/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 SW 122ND PL APT 911
MIAMI FL
33186-4115
US

IV. Provider business mailing address

9001 SW 122ND PL APT 911
MIAMI FL
33186-4115
US

V. Phone/Fax

Practice location:
  • Phone: 305-924-7965
  • Fax:
Mailing address:
  • Phone: 305-924-7965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: