Healthcare Provider Details

I. General information

NPI: 1467799874
Provider Name (Legal Business Name): SARAH CATHERINE PAULICK LMHC, CCTP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2013
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 SE EDGEWOOD DR
STUART FL
34996-4707
US

IV. Provider business mailing address

242 SE EDGEWOOD DR
STUART FL
34996-4707
US

V. Phone/Fax

Practice location:
  • Phone: 772-324-1950
  • Fax:
Mailing address:
  • Phone: 772-324-1950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH14052
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: