Provider Demographics
NPI:1396272100
Name:DENNISON, AMARIS (PSYD, LMHC)
Entity type:Individual
Prefix:DR
First Name:AMARIS
Middle Name:
Last Name:DENNISON
Suffix:
Gender:F
Credentials:PSYD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14215 SW 154TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1031
Mailing Address - Country:US
Mailing Address - Phone:786-518-8889
Mailing Address - Fax:
Practice Address - Street 1:14215 SW 154TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1031
Practice Address - Country:US
Practice Address - Phone:786-518-8889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12396103TC0700X
FLMH14707101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health