Individual
AMANDA BELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1 11TH AVE STE C2, SHALIMAR, FL 32579-1300
(850) 609-1004
Mailing address
1879 HEARTLAND DR, FORT WALTON BEACH, FL 32547-1026
(270) 402-5126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH16136
FL
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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