Provider Demographics
NPI:1578127130
Name:BOYER, AMANDA P (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:P
Last Name:BOYER
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:P
Other - Last Name:KRIBERNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:916 DAFFODIL DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8264
Mailing Address - Country:US
Mailing Address - Phone:561-906-5128
Mailing Address - Fax:
Practice Address - Street 1:5255 N FEDERAL HWY STE 325
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-4900
Practice Address - Country:US
Practice Address - Phone:561-300-4815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011314101YP2500X
CT46.003580101YP2500X
FLMH13325101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional