Healthcare Provider Details

I. General information

NPI: 1972417996
Provider Name (Legal Business Name): AMY ELIZABETH LAING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27551 CASHFORD CIR STE 102
WESLEY CHAPEL FL
33544-6950
US

IV. Provider business mailing address

3831 RYANS LN
ZEPHYRHILLS FL
33541-4545
US

V. Phone/Fax

Practice location:
  • Phone: 813-219-8844
  • Fax:
Mailing address:
  • Phone: 813-778-1147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH27186
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: