MEDICARE: AMANDA STONE LMHC

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	IMH14035	FL
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1730421363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA STONE LMHC

Provider Business Mailing Address
First Line	:	2823 N AUSTRALIAN AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-4524
Country	:	US
Telephone Number	:	561-800-5530
Fax Number	:

Provider Business Practice Location Address
First Line	:	2823 N AUSTRALIAN AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-4524
Country	:	US
Telephone Number	:	561-800-5530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2013
Last Update Date	:	12/13/2023

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Directions to “ AMANDA STONE LMHC” Practice Location

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