Healthcare Provider Details

I. General information

NPI: 1659282846
Provider Name (Legal Business Name): AMY ISABEL TONGSON RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28131 SW 128TH PATH
HOMESTEAD FL
33033-7351
US

IV. Provider business mailing address

28131 SW 128TH PATH
HOMESTEAD FL
33033-7351
US

V. Phone/Fax

Practice location:
  • Phone: 305-753-9592
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0734014482
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH27437
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: