Individual
MRS. AMANDA PEERCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1176 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7560
(407) 201-2103
Mailing address
4694 BERINGER DR, LAFAYETTE, IN 47909-6985
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW9778
FL
1041C0700X
Clinical Social Worker
101YM0800X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010756600
—
FL
Enumeration date
01/14/2014
Last updated
12/20/2023
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