Provider Demographics
NPI:1467799874
Name:PAULICK, SARAH CATHERINE (LMHC, CCTP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHERINE
Last Name:PAULICK
Suffix:
Gender:
Credentials:LMHC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 SE EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-4707
Mailing Address - Country:US
Mailing Address - Phone:772-324-1950
Mailing Address - Fax:
Practice Address - Street 1:242 SE EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-4707
Practice Address - Country:US
Practice Address - Phone:772-324-1950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14052101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016815100Medicaid