Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Samuel Koolhoven-Moore

Individual provider Mental Health Counselor · NPI 1720650286

Mr. Samuel Koolhoven-Moore is a Mental Health Counselor in Sarasota, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

1750 17th St Ste J2
Sarasota, FL 34234-8690
Phone: (941) 552-2075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH18940 (FL)

Record details

NPI number1720650286
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 14, 2021
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

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