Healthcare Provider Details

I. General information

NPI: 1568004604
Provider Name (Legal Business Name): CECILE ANTOINETTE OLLAR LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CECILE ANTOINETTE HAY

II. Dates (important events)

Enumeration Date: 10/10/2019
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 BEE RIDGE RD STE 202
SARASOTA FL
34233-1502
US

IV. Provider business mailing address

5500 BEE RIDGE RD STE 202
SARASOTA FL
34233-1502
US

V. Phone/Fax

Practice location:
  • Phone: 941-499-0463
  • Fax:
Mailing address:
  • Phone: 941-499-0463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH15112
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: