Individual
AMANICK BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7777 DAVIE ROAD EXT STE 302B, HOLLYWOOD, FL 33024-2503
(954) 852-1997
(954) 852-1998
Mailing address
7777 DAVIE ROAD EXT STE 302B, HOLLYWOOD, FL 33024-2503
(954) 852-1997
(954) 852-1998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
1615
SC
1041C0700X
Clinical Social Worker
Primary
SW24447
FL
Other
Enumeration date
09/25/2023
Last updated
03/08/2026
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