Organization
AMANDA WIEGERT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WIEGERT LMHC (OWNER)
(407) 448-9521
Entity
Organization
Contact information
Practice address
100 E SYBELIA AVE STE 380, MAITLAND, FL 32751-4775
(407) 448-9521
Mailing address
100 E SYBELIA AVE STE 380, MAITLAND, FL 32751-4775
(407) 448-9521
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/16/2020
Last updated
05/16/2020
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