Provider Demographics
NPI:1194996983
Name:MULHOLLAND, SARA (MED, LPC, BCBA)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:MULHOLLAND
Suffix:
Gender:F
Credentials:MED, LPC, BCBA
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:SCHUCHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10529 SAN TRAVASO DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2919
Mailing Address - Country:US
Mailing Address - Phone:314-704-3885
Mailing Address - Fax:
Practice Address - Street 1:10529 SAN TRAVASO DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2919
Practice Address - Country:US
Practice Address - Phone:314-704-3885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-21-53122103K00000X
COLPC.0031574101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst