Provider Demographics
NPI:1710336284
Name:BRIGHT, AMANDA KAYE (LCSW)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:KAYE
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9023 N TRAVIS DR
Mailing Address - Street 2:
Mailing Address - City:CITRUS SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34434-5068
Mailing Address - Country:US
Mailing Address - Phone:860-287-9233
Mailing Address - Fax:
Practice Address - Street 1:9023 N TRAVIS DR
Practice Address - Street 2:
Practice Address - City:CITRUS SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34434-5068
Practice Address - Country:US
Practice Address - Phone:860-287-9233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2215831041C0700X
FLSW199721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical