Provider Demographics
NPI:1821711748
Name:STRAUSS, AMY M (RECOVERY COACH)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:M
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:RECOVERY COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5035 CANAL CIR E
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-1833
Mailing Address - Country:US
Mailing Address - Phone:561-818-3940
Mailing Address - Fax:
Practice Address - Street 1:5035 CANAL CIR E
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-1833
Practice Address - Country:US
Practice Address - Phone:561-818-3940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0000175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0000Medicaid