Doctor Name: | MS. LUCILLE ANN D'AMICO |
NPI Number: | 1073764148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | LMHC #8633 |
Business Practice Address: | 120 W 6th Ave Windermere, FL - 347863525 |
Business Phone Number: | 4074055514 |
Business Fax Number: | 4072648809 |
Mailing Address: | 120 W 6th Ave, WINDERMERE |
State: | FL |
Postal Code: | 347863525 |
Phone Number: | 4074055514 |
Fax Number: | 4072648809 |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 10/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LMHC #8633 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |