Provider Demographics
NPI:1417760034
Name:SAGE COUNSELING & WELLNESS LLC
Entity type:Organization
Organization Name:SAGE COUNSELING & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:OSWALD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:754-200-1299
Mailing Address - Street 1:7401 WILES RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33067
Mailing Address - Country:US
Mailing Address - Phone:754-200-1299
Mailing Address - Fax:
Practice Address - Street 1:7401 WILES RD
Practice Address - Street 2:SUITE 214
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33067
Practice Address - Country:US
Practice Address - Phone:754-200-1299
Practice Address - Fax:754-484-3936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty