Individual
MS. AMANDA LORRAINE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
2801 N FLAGLER DR, WEST PALM BEACH, FL 33407-5215
(561) 619-2158
Mailing address
10436 TRIANON PL, WELLINGTON, FL 33449-8074
(561) 465-6798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH16778
FL
Other
Enumeration date
10/01/2019
Last updated
06/17/2020
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