AMANDA ZICCA
NPI 1861125221
Counselor - Mental Health in Lake Mary, FL
Active since July 05, 2022
About Amanda Zicca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA ZICCA (NPI 1861125221) is an individual mental health provider in Lake Mary, Florida, licensed in Florida (IMH27024) and active in the NPI registry since July 2022.
NPPES Registry Identity
NPI1861125221
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA ZICCA
Location Address310 WAYMONT CT STE 100Lake Mary, FL 32746-3475
Mailing Address633 Sabal Lake Dr Apt 205Longwood, FL 32779-6048 · (914) 564-9510
Phone(407) 635-1979
Sole ProprietorNo
Enumeration DateJuly 5, 2022
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1861125221 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 · IMH27024
310 WAYMONT CT STE 100, Lake Mary, FL 32746
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861125221, enumerated as an "individual" on July 05, 2022.
The provider is located at 310 WAYMONT CT STE 100 LAKE MARY, FL 32746 and the phone number is (407) 635-1979.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
