Isabel Amicy, MS

Individual provider Active NPI Mental Health Counselor · Coconut Grove, FL

NPI 1487047445 · NPPES record last updated Feb 24, 2016

Key facts

NPI
1487047445
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
IMH12027 (FL)
Practice address
2000 S Dixie Hwy
Coconut Grove, FL 33133-2456
Phone
(786) 231-4774
NPI assigned
Mar 13, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH12027FLMDMental Health Counselor
IMT2058FLMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH12027 FL Yes
Marriage & Family Therapist 106H00000X IMT2058 FL

Addresses

Primary practice location

2000 S Dixie Hwy
Coconut Grove, FL 33133-2456

Mailing address

14629 SW 104TH St Ste 129
Miami, FL 33186-2905
Phone (786) 231-4774

Other providers in Coconut Grove, FL

All providers in Coconut Grove, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.