Most Relevant Information
Provider Data
NPI Number: | 1003244484 |
Provider Name: | AMANDA SWEAT L.M.H.C |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | MH12110 |
Most Important Dates
Enumeration Date: | 10/23/2013 |
Last Updated: | 11/29/2021 |
Provider Practice Location
8465 MERCHANTS WAY STE 206
JACKSONVILLE
FL
322222858
Practice Location Phone/Fax
Phone: | 4232062299 |
Fax: | 4237175594 |
Provider Mailing Location
8465 MERCHANTS WAY STE 206
JACKSONVILLE
FL
322222858
Provider Mailing Phone/Fax
Phone: | 9042472322 |
Fax: |