MEDICARE: SARAH ROBERTS

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1760246607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ROBERTS

Provider Business Mailing Address
First Line	:	3506 18TH AVE W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205-1433
Country	:	US
Telephone Number	:	561-213-1587
Fax Number	:

Provider Business Practice Location Address
First Line	:	3506 18TH AVE W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205-1433
Country	:	US
Telephone Number	:	561-213-1587
Fax Number	:

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

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	01/15/2025

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Directions to “ SARAH ROBERTS ” Practice Location

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