Healthcare Provider Details

I. General information

NPI: 1558786871
Provider Name (Legal Business Name): SARA WALTER FLORETH LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2014
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20006 DETROIT RD # 301
ROCKY RIVER OH
44116-2406
US

IV. Provider business mailing address

20006 DETROIT RD # 301
ROCKY RIVER OH
44116-2406
US

V. Phone/Fax

Practice location:
  • Phone: 216-228-0010
  • Fax:
Mailing address:
  • Phone: 216-387-7397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC1000223
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: