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NPI Code Detail

MEDICARE: AMANDA WHEELER FLOTLIN LMFT

MEDICARE: AMANDA WHEELER FLOTLIN LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist153661CA

General Provider Information

NPI Number : 1528861572
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA WHEELER FLOTLIN LMFT
Provider Business Mailing Address
First Line : 3108 GLENDALE BLVD # 161
Second Line :
City : LOS ANGELES
State : CA
Zip : 90039-1806
Country : US
Telephone Number : 323-347-7748
Fax Number :
Provider Business Practice Location Address
First Line : 2150 HILLHURST AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-2012
Country : US
Telephone Number : 323-347-7748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2025
Last Update Date : 04/07/2026

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Directions to “ AMANDA WHEELER FLOTLIN LMFT” Practice Location

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