Individual
AMY LYNNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2708 ALT 19 STE 507-13, PALM HARBOR, FL 34683-2634
(727) 201-2163
Mailing address
2708 ALT 19 STE 507-13, PALM HARBOR, FL 34683-2634
(727) 201-2163
(727) 290-4156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9649
FL
101YP2500X
Professional Counselor
10128
NC
101YP2500X
Professional Counselor
MH9649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10128
NCBLPC
NC
01
—
MH9649
STATE OF FLORIDA LICENSE NUMBER
FL
Enumeration date
12/08/2008
Last updated
04/07/2025
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