MEDICARE: SARAH RENEE TUNNING LMHC, CAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	4024	FL
2	101YM0800X	Mental Health Counselor	MH9423	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598058216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH RENEE TUNNING LMHC, CAP

Provider Business Mailing Address
First Line	:	309 COSTA DEL SOL
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33876-6614
Country	:	US
Telephone Number	:	863-214-9009
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 COSTA DEL SOL
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33876-6614
Country	:	US
Telephone Number	:	863-214-9009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2011
Last Update Date	:	05/27/2011

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