Individual
AMY I HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3191 HARBOR BLVD STE A, PORT CHARLOTTE, FL 33952-6755
(239) 223-2751
Mailing address
123 N OAKLAND AVE, GREEN BAY, WI 54303-2831
(920) 770-4088
(651) 705-0026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH18139
FL
101YP2500X
Professional Counselor
4214-226
WI
Other
Enumeration date
11/09/2018
Last updated
09/21/2020
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