Healthcare Provider Details

I. General information

NPI: 1134222375
Provider Name (Legal Business Name): LAURA J DESSAUER M.S., ATR-BC, LCAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2735 FLOYD ST
SARASOTA FL
34239-2623
US

IV. Provider business mailing address

2735 FLOYD ST
SARASOTA FL
34239-2623
US

V. Phone/Fax

Practice location:
  • Phone: 941-504-8498
  • Fax:
Mailing address:
  • Phone: 941-504-8498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number000202-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number000634-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: