Provider Demographics
NPI:1386086825
Name:SARMIENTO, JOSHUA LUIS (LMHC,SAP,MCAP,NCC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:LUIS
Last Name:SARMIENTO
Suffix:
Gender:M
Credentials:LMHC,SAP,MCAP,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4152 SW 140TH STREET RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-2005
Mailing Address - Country:US
Mailing Address - Phone:423-432-9221
Mailing Address - Fax:
Practice Address - Street 1:3561 S PINE AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6612
Practice Address - Country:US
Practice Address - Phone:352-512-0090
Practice Address - Fax:352-512-0966
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014740700Medicaid