Provider Demographics
NPI:1881662559
Name:AMATEA, LAURA (EDS,LMFT,LMHC,NCC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:AMATEA
Suffix:
Gender:F
Credentials:EDS,LMFT,LMHC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 SE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2950
Mailing Address - Country:US
Mailing Address - Phone:352-629-4525
Mailing Address - Fax:352-629-4525
Practice Address - Street 1:1294 SE 24TH RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6010
Practice Address - Country:US
Practice Address - Phone:352-629-4525
Practice Address - Fax:352-629-4525
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6791101YM0800X
FLMT1922106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist