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Individual

MRS. AMANDA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2856 UNIVERSITY PKWY, SARASOTA, FL 34243-2410
(941) 281-5553
(941) 755-9357
Mailing address
2856 UNIVERSITY PKWY, SARASOTA, FL 34243-2410
(941) 400-2624
(941) 755-9357

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17742
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068.0134633TELE
STATE LICENSE
VT
01
0701012815
STATE LICENSE
VA
01
MH17742
STATE LICENSE
FL
Enumeration date
01/29/2020
Last updated
08/25/2023
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