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NPI Code Detail

MEDICARE: MRS. AMANDA MARIE DAVID LMHC

MEDICARE: MRS. AMANDA MARIE DAVID 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
1101YM0800XMental Health CounselorMH 10805FL

General Provider Information

NPI Number : 1770992414
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA MARIE DAVID LMHC
Provider Business Mailing Address
First Line : 6923 CONSOLATA ST
Second Line :
City : BOCA RATON
State : FL
Zip : 33433-7553
Country : US
Telephone Number : 850-525-3881
Fax Number : 561-325-8081
Provider Business Practice Location Address
First Line : 6919 SW 18TH ST STE 200/227
Second Line :
City : BOCA RATON
State : FL
Zip : 33433-7010
Country : US
Telephone Number : 561-325-8031
Fax Number : 561-325-8081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2014
Last Update Date : 04/18/2023

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Directions to “ MRS. AMANDA MARIE DAVID LMHC” Practice Location

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