LARRY CHARLES SARGENT (NPI# 1659658748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659658748 |
| Entity Type | Individual |
| Full Name | LARRY CHARLES SARGENT |
| Other Name | LARRY SARGENT |
| Credential | MA |
| Practice Address |
167 Palencia Village Dr Ste 101 St Augustine FL 32095-8450 |
| Mailing Address |
167 Palencia Village Drive Suite 101 St. Augustine FL 32095 |
| Practice Telephone | 9042245108 |
| Mailing Telephone | 9042245108 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH 7278 | FL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMT 1254 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720123599 | Larry Sargent | Counselor | 104 Padre Martinez Ln, Unit 8, Taos, NM 87571-5937 | 2007-02-20 |
| 1346217882 | Larry A Sargent | Plastic Surgery | 620 Medical Dr, Suite 310, Bountiful, UT 84010-5084 | 2006-03-03 |
| Street Address |
167 PALENCIA VILLAGE DR STE 101 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32095-8450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124299201 | Dental Health Group PC | Dentist | 159 Palencia Village Drive, Ste 109, St. Augustine, FL 32095 | 2008-03-18 |
| 1932259405 | Thomas E Stakem | Dentist | 7175-01 U.S. Highway 17 South, Green Cove Springs, FL 32095 | 2007-01-10 |
| 1942390265 | Antonia Fuller | Registered Nurse | 354 Paseo Reyes Drive, Saint Augustine, FL 32095 | 2006-10-15 |
| 1740223023 | First Choice Phcy Svcs LLC | Pharmacy | 110 Cumberland Dr #305, St Augustine, FL 32095 | 2006-06-14 |
| 1174029201 | Aba Connection, LLC | Early Intervention Provider Agency | 23 Sol Ct, St Augustine, FL 32095 | 2018-04-05 |
| 1457437584 | Stanley A Cohen | Psychiatry & Neurology | 354 Paseo Reyes Drive, St Augustine, FL 32095 | 2006-10-31 |
| 1548576150 | Vicki Glabb | Counselor | 260 Ash Breeze Cv, Saint Augustine, FL 32095-0045 | 2010-08-20 |
| 1245770742 | Linda Gillis | Nurse Practitioner | 143 Portada Dr, St Augustine, FL 32095-1634 | 2017-03-02 |
| 1659821767 | Margo Slovis | Physical Therapist | 244 Vale Dr, St Augustine, FL 32095-4832 | 2016-10-12 |
| 1851909360 | Mammography Partners LLC | Clinic/Center | 521 Costa Del Sol Dr, St Augustine, FL 32095-4868 | 2020-07-21 |
| Find all providers in zip 32095 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877662 | Linda Michele Turner | Counselor | 121 Midway Park Dr, St Augustine, FL 32084-6624 | 2019-02-19 |
| 1730651977 | Michael A Malone | Counselor | 1217 Springhealth Ct, St Augustine, FL 32092-2460 | 2018-12-28 |
| 1790260727 | Molly Giannotta | Counselor | 4475 Us 1 S Ste 603, St Augustine, FL 32086-7282 | 2018-09-25 |
| 1346734514 | Hayne Addison Steen | Counselor | 38 S Dixie Hwy, St Augustine, FL 32084-0313 | 2018-06-20 |
| 1558733311 | Logan Jones Sincavage | Counselor | 143 Old Field Ln, St Augustine, FL 32092-1928 | 2015-10-20 |
| 1417378571 | Laura Bowman Pamer | Counselor | 2225 A1a S Ste B, St Augustine, FL 32080-2916 | 2013-12-16 |
| 1598195612 | Emili-erin Elizabeth Alexander | Counselor | 155 San Marco Ave, St Augustine, FL 32084-3268 | 2013-11-27 |
| 1982978565 | Amanda Woodman Swartzlender | Counselor | 631 Market St, St Augustine, FL 32095-8892 | 2012-02-29 |
| 1568749620 | Rebecca A Mcquaig | Counselor | 109 Nature Walk Pkwy Unit 104, St Augustine, FL 32092-5065 | 2011-11-03 |
| 1356650808 | Paul Fugelsang | Counselor | 18 Estey St, St Augustine, FL 32084-2843 | 2010-10-01 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32095 |
Please comment or provide details below to improve the information on LARRY CHARLES SARGENT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.