| Amanda Lynn, Llc | |
|
2730 Sadigo Ter North Port FL 34286-8752 | |
| (941) 879-1662 | |
| Not Available |
| Full Name | Amanda Lynn, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2730 Sadigo Ter, North Port, Florida |
| Authorized Official Name and Position | Amanda Perkins (OWNER/ OPERATOR) |
| Authorized Official Contact | 9418791662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Lynn, Llc 2730 Sadigo Ter North Port FL 34286-8752 Ph: (941) 879-1662 | Amanda Lynn, Llc 2730 Sadigo Ter North Port FL 34286-8752 Ph: (941) 879-1662 |
| NPI Number | 1184377186 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184377186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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