Individual
AMBER LIA BENAMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2900 W PROSPECT RD, FORT LAUDERDALE, FL 33309-2519
(954) 731-5100
(954) 497-3857
Mailing address
4740 N STATE ROAD 7, 201, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
(954) 497-3857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW12591
FL
1041C0700X
Clinical Social Worker
Primary
SW12591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010317400
—
FL
Enumeration date
07/02/2013
Last updated
06/25/2015
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