Provider Demographics
NPI:1124912100
Name:SAGE & STONE HOLISTIC COUNSELING, LLC
Entity type:Organization
Organization Name:SAGE & STONE HOLISTIC COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:RMHI, DNP, APRN, NNP
Authorized Official - Phone:954-600-6177
Mailing Address - Street 1:532 NE 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-1222
Mailing Address - Country:US
Mailing Address - Phone:954-600-6177
Mailing Address - Fax:
Practice Address - Street 1:532 NE 10TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1222
Practice Address - Country:US
Practice Address - Phone:954-600-6177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty