MRS. AMANDA WIEGERT


Address: 6000 Lake Ellenor Drive, Orlando, FL 32809
Phone: (407) 613-5555

MRS. AMANDA WIEGERT (NPI# 1073030276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073030276
Entity Type Individual
Full Name MRS. AMANDA WIEGERT
Credential LMHC
Practice Address 6000 Lake Ellenor Drive
Orlando
FL 32809
Mailing Address 6000 Lake Ellenor Dr
Orlando
FL 32809-4615
Practice Telephone (407) 613-5555
Mailing Telephone 4076135555
Enumeration Date 2017-08-28
Last Update Date 2017-08-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH13124 FL Behavioral Health & Social Service Providers

Office Location

Street Address 6000 LAKE ELLENOR DRIVE
City ORLANDO
State FL
Zip Code 32809

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1972886307 Viet H Nguyen Pharmacist 7003 Presidents Drive Suite 250, Orlando, FL 32809 2011-09-22
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City ORLANDO
Zip Code 32809

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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