Sanctuary Clinics, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SANCTUARY CLINICS, INC.

Practice address

984 Boston Hwy
Monticello, FL 32344-4758

Phone

(954) 536-9539

NPI assigned

Feb 24, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Friedman

Title

Administrative Assistant

Phone

(850) 933-9385

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1003515487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 BOSTON HWY",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323444758",
            "telephone_number": "954-536-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 BOSTON HWY",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323444758",
            "telephone_number": "954-536-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "850-933-9385"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reshape Counseling and Consulting LLC
• Karen Richards, LCSW
• Marcia Katonya Roberts-Morris, ARNP
• Dimitria D. Roberts
• Mintonette Register Salvo, CRDH
• Patricia Joan Sanzone, CFA
• Wesley Douglas Scoles, M.D.
• Joyce E. Siplin, LMHC
• Lara Nix Smith, MSN, RN
• Steve W Smith, RPH

• Mental Health Clinic/Center (Including Community Mental Health Center) in Monticello, FL
• Providers in Monticello, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.