Provider Demographics
NPI:1467333138
Name:SARTIN, MICHAEL KEITH JR (RMHCI)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:KEITH
Last Name:SARTIN
Suffix:JR
Gender:M
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6706 N 9TH AVE STE B5
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-7378
Mailing Address - Country:US
Mailing Address - Phone:850-696-6346
Mailing Address - Fax:
Practice Address - Street 1:6706 N 9TH AVE STE B5
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-7378
Practice Address - Country:US
Practice Address - Phone:850-696-6346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH25395101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty