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NPI Code Detail

MEDICARE: MRS. AMANDA ELIZABETH CAPECE QS-LMHC, ED.S, MS

MEDICARE: MRS. AMANDA ELIZABETH CAPECE QS-LMHC, ED.S, MS
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
1101YP2500XProfessional CounselorMH14628FL
2101YM0800XMental Health CounselorMH14628FL
3101Y00000XCounselorMH14628FL

General Provider Information

NPI Number : 1609391168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA ELIZABETH CAPECE QS-LMHC, ED.S, MS
Provider Business Mailing Address
First Line : 820 E PARK AVE STE I100
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-2600
Country : US
Telephone Number : 850-765-6769
Fax Number : 850-270-6932
Provider Business Practice Location Address
First Line : 820 E PARK AVE STE I100
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-2600
Country : US
Telephone Number : 850-765-6769
Fax Number : 850-270-6932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2017
Last Update Date : 04/16/2024

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