| Amy E. White, Lcsw Llc | |
|
2086 Tigris Dr West Palm Beach FL 33411-5762 | |
| (561) 657-2159 | |
| Not Available |
| Full Name | Amy E. White, Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2086 Tigris Dr, West Palm Beach, Florida |
| Authorized Official Name and Position | Amy White (OWNER) |
| Authorized Official Contact | 5616572159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy E. White, Lcsw Llc 2086 Tigris Dr West Palm Beach FL 33411-5762 Ph: (561) 657-2159 | Amy E. White, Lcsw Llc 2086 Tigris Dr West Palm Beach FL 33411-5762 Ph: (561) 657-2159 |
| NPI Number | 1477143188 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 01/26/2021 |
| Certification Date | 01/26/2021 |
| Medicare PECOS PAC ID | 1951718154 |
|---|---|
| Medicare Enrollment ID | O20210407000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477143188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amy White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881142321 PECOS PAC ID: 2860809068 Enrollment ID: I20210407000075 |
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