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AMANDA MARIA LARSON
NPI 1114568912
Counselor - Mental Health in Middleburg, FL

Active since October 02, 2019
3292 COUNTY ROAD 220, MIDDLEBURG, FL 32068(904) 291-5561(904) 291-5575 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2020, Oct 2, 2019 (2 updates tracked since 2019).

About Amanda Maria Larson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MARIA LARSON (NPI 1114568912) is an individual mental health provider in Middleburg, Florida, licensed in Florida (MH17383) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1114568912
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA MARIA LARSON
Location Address3292 COUNTY ROAD 220Middleburg, FL 32068-4357
Mailing Address1726 Kingsley Ave Ste 2Orange Park, FL 32073-4411
Phone(904) 291-5561
Fax(904) 291-5575
Sole ProprietorNo
Enumeration DateOctober 2, 2019
Last NPPES UpdateJanuary 6, 20202 updates tracked since enumeration
✔ NPI 1114568912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH17383
3292 COUNTY ROAD 220, Middleburg, FL 32068
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEISHLA HUERTAS-GONZALEZ LCSW
Social Worker (Clinical)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Clay County (904) 291-5561
MS. GLENDA DARLENE HUTTO RN
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Clay County (904) 291-5561
MARILYN A JONES LMHC
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Clay County (904) 291-5561
MR. DAVID W WESTCOTT LMHC
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Clay County (904) 291-5561
STEPHANIE BURKES LCSW
Social Worker (Clinical)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Clay County (904) 291-5561
MRS. LORI ANN ROLING RN
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Clay County (904) 291-5561
CLANAILYA HENRY LMHC
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Clay County (904) 291-5561
MICHELLE NICOLE FIALLO LMHC, CCTP
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Clay County (904) 728-2578

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Larson's NPI number?

The NPI number for Amanda Larson is 1114568912. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Amanda Larson located?

Amanda Larson practices at 3292 County Road 220, Middleburg, FL 32068. The listed phone number is (904) 291-5561.

What is Amanda Larson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Amanda Larson was last updated on January 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.