Healthcare Provider Details

I. General information

NPI: 1952837254
Provider Name (Legal Business Name): SARAH SOCKOL LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2017
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 E ROLLINS ST FL 6
ORLANDO FL
32804-5502
US

IV. Provider business mailing address

265 E ROLLINS ST FL 6
ORLANDO FL
32804-5502
US

V. Phone/Fax

Practice location:
  • Phone: 407-821-3586
  • Fax: 407-659-0411
Mailing address:
  • Phone: 407-821-3586
  • Fax: 407-659-0411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH18748
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: