Provider Demographics
NPI:1104984160
Name:TREMBLEY, SARAH E (MA, LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:TREMBLEY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:TREMBLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:31640 US HIGHWAY 19 N STE 2
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3738
Mailing Address - Country:US
Mailing Address - Phone:425-830-1410
Mailing Address - Fax:
Practice Address - Street 1:31640 US HIGHWAY 19 N STE 2
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3738
Practice Address - Country:US
Practice Address - Phone:425-830-1410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60017464101YM0800X
FLMH18968101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health