Individual
MS. AMY SUE THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5319 PAYLOR LN STE 100, LAKEWOOD RANCH, FL 34240-2207
(941) 587-2055
(941) 499-0404
Mailing address
2492 S MACAFEE RD, SAYRE, PA 18840-7821
(941) 587-2055
(941) 499-0404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW8459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030600
—
FL
Enumeration date
12/13/2006
Last updated
07/29/2024
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