Provider Demographics
NPI:1265893259
Name:ENKLING, AMY M (MA, LMHC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:ENKLING
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5580 PARK BLVD N STE 6
Mailing Address - Street 2:SUITE M
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3328
Mailing Address - Country:US
Mailing Address - Phone:407-694-1966
Mailing Address - Fax:
Practice Address - Street 1:5580 PARK BLVD N STE 6
Practice Address - Street 2:SUITE M
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3328
Practice Address - Country:US
Practice Address - Phone:407-694-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-17
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 13430101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health