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Individual

MS. AMENA ALICIA HUMPHREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, PH.D, NCC

Contact information

Practice address
734 IRMA AVE, ORLANDO, FL 32803-3853
(321) 274-3980
(407) 244-1986
Mailing address
734 IRMA AVE, ORLANDO, FL 32803-3853
(321) 274-3980
(407) 244-1986

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH23425
FL
225200000X
Physical Therapy Assistant
PTA 19309
FL

Other

Enumeration date
07/11/2012
Last updated
06/09/2025
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