Individual
AMANICK BOOTHE
Active
Individual
AMANICK BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
1615
SC
1041C0700X
Clinical Social Worker
CSW010062
GA
1041C0700X
Clinical Social Worker
Primary
SW24447
FL
Other
Enumeration date
09/25/2023
Last updated
06/08/2026
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