Individual
AMY HALECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 W MICHIGAN ST, ORLANDO, FL 32805-6203
(407) 317-7430
(407) 648-4150
Mailing address
1701 PERKINS RD, ORLANDO, FL 32809-6836
(407) 582-0392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
SW 7363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
759297300
—
FL
05
—
811534600
—
FL
Enumeration date
02/05/2007
Last updated
04/20/2012
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