Individual
AMANDA CHRISTINE NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, LMHC, CST
Contact information
Practice address
3595 W LAKE MARY BLVD STE B, LAKE MARY, FL 32746-6750
(407) 603-5636
Mailing address
3595 W LAKE MARY BLVD STE B, LAKE MARY, FL 32746-6750
(407) 603-5636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17828
FL
174N00000X
Lactation Consultant (Non-RN)
257208
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
257208
ACADEMY OF LACTATION POLICY AND PRACTICE
—
01
—
L-302660
INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT
—
01
—
MH18585
LICENSED MENTAL HEALTH COUNSELOR
FL
Enumeration date
02/20/2018
Last updated
06/09/2026
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