Most Relevant Information
Provider Data
| NPI Number: | 1003577412 |
| Provider Name: | AMANDA LYN WENDLE LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | MH20141 |
Most Important Dates
| Enumeration Date: | 01/07/2022 |
| Last Updated: | 01/07/2022 |
Provider Practice Location
1801 CRYSTAL LAKE DR
LAKELAND
FL
338015979
Practice Location Phone/Fax
| Phone: | 8637098543 |
| Fax: | 8636882520 |
Provider Mailing Location
5006 COPPERSTONE CIR
MULBERRY
FL
338608605
Provider Mailing Phone/Fax
| Phone: | 8636148330 |
| Fax: |