Healthcare Provider Details

I. General information

NPI: 1295242709
Provider Name (Legal Business Name): AMY KUNDINGER BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. AMY KUNDINGER

II. Dates (important events)

Enumeration Date: 01/05/2018
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14527 7TH ST
DADE CITY FL
33523-3102
US

IV. Provider business mailing address

2995 DREW ST FL 2
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 727-532-0002
  • Fax:
Mailing address:
  • Phone: 727-532-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH23472
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: