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General NPI Number Information
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NPI Number | 1588809396
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Entity Type | Individual
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Provider Name | AMY LYNNE JOHNSON LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2708 ALT 19 STE 507-13
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City | PALM HARBOR
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State | FL
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Zip | 34683-2634
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Country | US
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Telephone | 727-201-2163
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Fax |
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Provider Business Mailing Address
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Address Line | 2708 ALT 19 STE 507-13
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City | PALM HARBOR
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State | FL
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Zip | 34683-2634
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Country | US
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Telephone | 727-201-2163
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Fax | 727-290-4156
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10128
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH9649
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH9649
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License Number State | FL
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