AMANDA HENDERSON (NPI# 1699382291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699382291 |
| Entity Type | Individual |
| Full Name | AMANDA HENDERSON |
| Credential | LMHC |
| Practice Address |
206 Park Place Blvd Kissimmee FL 34741-2344 |
| Practice Telephone | 4078460023 |
| Practice Fax Number | 4079304348 |
| Mailing Telephone | 4078460023 |
| Mailing Fax Number | 4079304348 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
18394 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562273 | Amanda Henderson | Massage Therapist | 3368 E Hollywood Cir, Pennsauken, NJ 08109-2307 | 2020-09-09 |
| 1861862310 | Amanda C Henderson | Pharmacist | 104 Sunset Cir, Underwood, IA 51576-5043 | 2015-09-27 |
| 1528676665 | Amanda Ray Henderson | Student in an Organized Health Care Education/Training Program | 9501 Euclid Ave, Cleveland, OH 44106-4711 | 2020-07-15 |
| 1669937827 | Amanda Henderson | Occupational Therapist | 501 E Sumpter St, Mexia, TX 76667 | 2019-02-01 |
| 1396286050 | Amanda Henderson | Massage Therapist | 2350 Washtenaw Ave, Suite 22, Ann Arbor, MI 48104-4532 | 2017-03-14 |
| 1649693813 | Amanda Henderson | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2014-01-24 |
| 1609213289 | Amanda Woodard Henderson | Registered Nurse | 415 N Jackson St, Americus, GA 31709-3015 | 2013-05-23 |
| 1194011106 | Amanda Dean Henderson | Ophthalmology | 600 N Wolfe St, Wilmer Wood Research Bldg, Rm 457, Baltimore, MD 21287-0005 | 2011-06-28 |
| 1497062590 | Amanda Faye Henderson | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2010-09-10 |
| 1215168471 | Amanda Nicole Henderson | Case Manager/Care Coordinator | 1500 N 6th St, Ponca City, OK 74601-2827 | 2009-08-05 |
| Street Address |
206 PARK PLACE BLVD |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134189277 | Jessica Lynn Wolfinger | Social Worker | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2006-03-24 |
| 1396396982 | Erika Marie Cooper | Psychiatry & Neurology | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2019-09-25 |
| 1275187924 | Cassandra Marie Craft | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2019-07-31 |
| 1780147215 | Timothy John Mcmanus | Social Worker | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2019-04-11 |
| 1356792675 | Pablo F Perez | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2016-06-28 |
| 1073968673 | Gabrielle Gordon | Social Worker | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2016-05-02 |
| 1689038960 | Suzanne Kane | Registered Nurse | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2016-04-12 |
| 1235594847 | Eric Schaaf | Registered Nurse | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2015-12-24 |
| 1205200219 | Miriam Duarte | Case Manager/Care Coordinator | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2015-11-16 |
| 1336516228 | Raul R Alvarez | Counselor | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2015-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313595 | Smart Scholars LLC | Counselor | 2220 E Irlo Bronson Memorial Hwy Ste 8, Kissimmee, FL 34744-4411 | 2020-10-15 |
| 1851918239 | Natanya Quinones Bracero | Counselor | 401 Fountainhead Cir Unit 156, Kissimmee, FL 34741-3244 | 2020-07-01 |
| 1043846124 | Jasmine Marie Smith | Counselor | 431 Brookfield Dr, Kissimmee, FL 34758-4143 | 2020-03-20 |
| 1437784659 | Karisma Vicioso | Counselor | 2839 Running Brook Cir, Kissimmee, FL 34744-9313 | 2020-03-09 |
| 1639715196 | Lisa Ann Alvarez | Counselor | 2705 Wolcott Ln, Kissimmee, FL 34747-1817 | 2019-11-20 |
| 1891330189 | Ketsia Alexandre | Counselor | 2401 Hamilton Branch Ct, Kissimmee, FL 34758-0069 | 2019-11-11 |
| 1407497373 | Stacy Thiry | Counselor | 3404 Misty Ln, Kissimmee, FL 34746-2827 | 2019-10-02 |
| 1265084768 | Shanira Sanchez | Counselor | 1176 Cypress Glen Cir, Kissimmee, FL 34741-7560 | 2019-07-15 |
| 1811554546 | Providencepass, LLC | Counselor | 741 Front St Ste 210, Kissimmee, FL 34747-4992 | 2019-05-29 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| Find all providers in KISSIMMEE | ||||
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| 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.