Provider Demographics
NPI:1053288704
Name:VALDIVIA, SABRINA ANGEL (LLMFT)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:ANGEL
Last Name:VALDIVIA
Suffix:
Gender:F
Credentials:LLMFT
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:ANGEL
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLMFT
Mailing Address - Street 1:39 NEOME DR
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1133
Mailing Address - Country:US
Mailing Address - Phone:909-660-3824
Mailing Address - Fax:951-293-1634
Practice Address - Street 1:5980 S MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2377
Practice Address - Country:US
Practice Address - Phone:248-266-0920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-18
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4151001153106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist