Provider Demographics
NPI:1760357511
Name:GENGLER, SOPHIE GRACE
Entity type:Individual
Prefix:
First Name:SOPHIE
Middle Name:GRACE
Last Name:GENGLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 BAYHEAD LN
Mailing Address - Street 2:
Mailing Address - City:OSPREY
Mailing Address - State:FL
Mailing Address - Zip Code:34229-8992
Mailing Address - Country:US
Mailing Address - Phone:760-861-1429
Mailing Address - Fax:
Practice Address - Street 1:2426 BEE RIDGE RD STE C
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6350
Practice Address - Country:US
Practice Address - Phone:941-212-0422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health