Provider Demographics
NPI:1205231255
Name:TAYLOR, AMANDA ASHLEY (LMHC, QS)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:ASHLEY
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LMHC, QS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 NW 39TH AVE STE. 130
Mailing Address - Street 2:PMB 3109
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606
Mailing Address - Country:US
Mailing Address - Phone:352-559-5001
Mailing Address - Fax:352-225-7821
Practice Address - Street 1:430 SE 14TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32641-3136
Practice Address - Country:US
Practice Address - Phone:352-559-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-31
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18017101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health