Individual
AMANDA FUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
945 GRAND ST, STARKE, FL 32091-1821
(352) 374-5600
Mailing address
13521 PRESTWICK DR, RIVERVIEW, FL 33579-4038
(828) 242-8930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
P008814
NC
1041C0700X
Clinical Social Worker
Primary
SW23479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124844100
—
FL
Enumeration date
09/25/2014
Last updated
02/21/2025
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