Aimee Gabrielle Bossuyt-Andrews
Individual provider Active NPI Mental Health Counselor · Trinity, FL
NPI 1700654076 · NPPES record last updated Dec 18, 2023
Key facts
- NPI
- 1700654076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 23109 (FL)
- Practice address
- 7845 Lachlan Dr
Trinity, FL 34655-5147 - Phone
- (727) 234-7584
- NPI assigned
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23109 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 23109 | FL | Yes |
Addresses
Primary practice location
7845 Lachlan Dr
Trinity, FL 34655-5147
Mailing address
7845 Lachlan Dr
Trinity, FL 34655-5147
Phone (727) 234-7584
Other providers in Trinity, FL
- Sirinat Blake
- Todd J Bodanza
- Michael Bodine
- Vishal M Bommineni
- Christopher J Bopp
- Douglas Kenneth Braase
- Taylor Alberdi Bradley
- Robert N Brady
- Joseph Branton Jr.
- Edward E Bratton
All providers in Trinity, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.