Healthcare Provider Details

I. General information

NPI: 1588473326
Provider Name (Legal Business Name): AMANDA M. SKORANSKI PHD, MFT-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7221 CORAL WAY STE 206
MIAMI FL
33155-1436
US

IV. Provider business mailing address

8635 SW 20TH TER
MIAMI FL
33155-1042
US

V. Phone/Fax

Practice location:
  • Phone: 786-648-4447
  • Fax:
Mailing address:
  • Phone: 302-668-6355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: