MEDICARE: MS. SABRINA LOVELY NOTTINGHAM MA, RMHCI

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	IMH9946	FL

General Provider Information

NPI Number	:	1932440419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SABRINA LOVELY NOTTINGHAM MA, RMHCI

Provider Business Mailing Address
First Line	:	664 SW 35TH ST
Second Line	:	#4
City	:	PALM CITY
State	:	FL
Zip	:	34990-3659
Country	:	US
Telephone Number	:	772-200-5757
Fax Number	:

Provider Business Practice Location Address
First Line	:	664 SW 35TH ST
Second Line	:	#4
City	:	PALM CITY
State	:	FL
Zip	:	34990-3659
Country	:	US
Telephone Number	:	772-200-5757
Fax Number	:

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

Provider Enumeration Date	:	03/08/2013
Last Update Date	:	03/08/2013

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