Healthcare Provider Details

I. General information

NPI: 1164246260
Provider Name (Legal Business Name): AMANDA M. LAMELAS DNP, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10689 N KENDALL DR STE 211
MIAMI FL
33176-1594
US

IV. Provider business mailing address

PO BOX 327225
FORT LAUDERDALE FL
33332-9701
US

V. Phone/Fax

Practice location:
  • Phone: 305-204-9499
  • Fax: 507-607-8720
Mailing address:
  • Phone: 954-639-1973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11035859
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: