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General NPI Number Information
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NPI Number | 1821606203
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Entity Type | Individual
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Provider Name | SARAH SHAWALI MA
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Gender | Female
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 5390 HOFFNER AVE STE H
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City | ORLANDO
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State | FL
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Zip | 32812-2458
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Country | US
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Telephone | 407-270-4849
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Fax | 407-381-0697
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Provider Business Mailing Address
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Address Line | 8330 FORT CLINCH AVE
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City | ORLANDO
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State | FL
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Zip | 32822-7177
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Country | US
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Telephone | 407-394-6451
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH22283
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License Number State | FL
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