Amanda Lyn Wendle
Professional Counselor
1801 Crystal Lake Dr
Lakeland
, Florida 33801-5979
Amanda Lyn Wendle
Professional Counselor
1801 Crystal Lake Dr
Lakeland
, Florida 33801-5979
(863) 614-8330
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Amanda Lyn Wendle
- 5006 Copperstone Cir
- Mulberry, FL
- Zip : 33860-8605
- Phone : (863) 614-8330
Second Address
- Amanda Lyn Wendle
- 1801 Crystal Lake Dr
- Lakeland, FL
- Zip : 33801-5979
- Fax : (863) 688-2520
- Phone : (863) 709-8543
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | MH20141 | FL |
National Provider Identifier
| NPI | 1003577412 |
|---|---|
| Provider Name | Amanda Lyn Wendle |
| First Address | Mulberry, FL 33860-8605 |
| Second Address | Lakeland, FL 33801-5979 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2022 |
| Last Update Date | 07/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.