Individual
AMANDA LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
138 E BLOOMINGDALE AVE, BRANDON, FL 33511-8101
(813) 444-7116
Mailing address
138 E BLOOMINGDALE AVE, BRANDON, FL 33511-8101
(813) 444-7116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17318
FL
Other
Enumeration date
09/15/2019
Last updated
09/15/2019
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