Doctor Name: | AMY MARIE FLORA |
NPI Number: | 1699901785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHA |
License Number: | |
Business Practice Address: | 2075 Bypass Rd Ste 104 Brandenburg, KY - 401081636 |
Business Phone Number: | 2704223971 |
Business Fax Number: | 2702348572 |
Mailing Address: | 107 Cranes Roost Ct, ELIZABETHTOWN |
State: | KY |
Postal Code: | 427013650 |
Phone Number: | 2707652605 |
Fax Number: | 2702348572 |
NPI Enumeration Date: | 06/03/2009 |
NPI Last Update Date: | 06/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |