Healthcare Provider Details

I. General information

NPI: 1467023424
Provider Name (Legal Business Name): SARA ANNE TOMLINSON MS, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 LEWIS SPEEDWAY STE 1103
ST AUGUSTINE FL
32084-8649
US

IV. Provider business mailing address

3910 LEWIS SPEEDWAY STE 1103
ST AUGUSTINE FL
32084-8649
US

V. Phone/Fax

Practice location:
  • Phone: 386-837-9686
  • Fax:
Mailing address:
  • Phone: 904-829-2273
  • Fax: 904-824-0724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH19042
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMH19042
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: