Healthcare Provider Details

I. General information

NPI: 1598436552
Provider Name (Legal Business Name): ELEANOR LYNN SCHRADER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELEANOR LYNN MASTRO

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 CLARK RD STE 170
SARASOTA FL
34231-8435
US

IV. Provider business mailing address

3333 CLARK RD STE 170
SARASOTA FL
34231-8435
US

V. Phone/Fax

Practice location:
  • Phone: 941-888-2081
  • Fax: 888-700-6760
Mailing address:
  • Phone: 941-888-2081
  • Fax: 888-700-6760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH16277
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: