Doctor Name: | MRS. AMANDA KATHRYN SMITH |
NPI Number: | 1043355647 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH9016 |
Business Practice Address: | 15 Windsormere Way Suite 300 Oviedo, FL - 327656507 |
Business Phone Number: | 4076255314 |
Business Fax Number: | 8665470169 |
Mailing Address: | 4149 Derby Pl, OVIEDO |
State: | FL |
Postal Code: | 327657561 |
Phone Number: | 4076255314 |
Fax Number: | 8665470169 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 05/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH9016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |