Individual
AMY ROSE HERTZBERG-MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1423 OAKFIELD DR, BRANDON, FL 33511-2801
(813) 753-0866
Mailing address
1014 KAY JEAN DR, VALRICO, FL 33594-4628
(813) 597-9309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH23171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689320756
MENTAL HEALTH
—
Enumeration date
02/29/2024
Last updated
02/29/2024
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