MEDICARE: AMIE THOMAS LMHC LLC

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
1	101YM0800X	Mental Health Counselor	MH9886	FL

General Provider Information

NPI Number	:	1588109607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMIE THOMAS LMHC LLC

Provider Business Mailing Address
First Line	:	9200 BONITA BEACH RD SE STE 210
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34135-4278
Country	:	US
Telephone Number	:	239-221-6370
Fax Number	:	239-790-5185

Provider Business Practice Location Address
First Line	:	9200 BONITA BEACH RD SE STE 210
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34135-4278
Country	:	US
Telephone Number	:	239-221-6370
Fax Number	:	239-790-5185

Authorized Official
Title or Position	:	OWNER
Name	:	AMIE CATHERINE THOMAS
Credential	:	LMHC
Telephone Number	:	239-221-6370

Provider Enumeration Date	:	12/28/2016
Last Update Date	:	11/21/2025

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