| NPI | 1184377186 |
|---|---|
| Former Legal Business Name | AMANDA LYNN, LLC |
| Entity Type | Organization |
| Authorized Contact | AMANDA PERKINS Owner/ Operator 941-879-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |