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General NPI Number Information
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NPI Number | 1245101633
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Entity Type | Organization
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Legal Business Name | AMALA THERAPY LLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 6455 BAY CLUB DR 2 3308
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308
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Country | US
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Telephone | 954-399-0171
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Fax |
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Provider Business Mailing Address
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Address Line | 6455 BAY CLUB DR APT 2
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1711
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMANDA MOHAMMED
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Credential | LMHC
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Telephone | 954-988-0930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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