Provider Demographics
NPI:1386097640
Name:AMARANTE, SEBASTIAN (CAP)
Entity type:Individual
Prefix:
First Name:SEBASTIAN
Middle Name:
Last Name:AMARANTE
Suffix:
Gender:M
Credentials:CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4376 MIDDLEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-3088
Mailing Address - Country:US
Mailing Address - Phone:407-219-8508
Mailing Address - Fax:
Practice Address - Street 1:4376 MIDDLEBROOK RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-3088
Practice Address - Country:US
Practice Address - Phone:407-219-8508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLADC-005465-2014101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)