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Organization

AMANDA K. SMITH, MA, LMHC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMANDA K SMITH LMHC (DIR)
(407) 625-5314
Entity
Organization

Contact information

Practice address
15 WINDSORMERE WAY, SUITE 300, OVIEDO, FL 32765-6507
(407) 625-5314
(186) 654-7016
Mailing address
15 WINDSORMERE WAY, SUITE 300, OVIEDO, FL 32765-6507
(407) 625-5314
(186) 654-7016

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9016
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043355647
INDIVIDUAL NPI
FL
Enumeration date
05/11/2012
Last updated
05/11/2012
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