Provider Demographics
NPI:1487460374
Name:GORSKI, SARAH MARIE (LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:GORSKI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 REFLECTION COVE DR APT 202
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-6593
Mailing Address - Country:US
Mailing Address - Phone:952-288-7607
Mailing Address - Fax:
Practice Address - Street 1:7850 REFLECTION COVE DR APT 202
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-6593
Practice Address - Country:US
Practice Address - Phone:952-288-7607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH24643101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health