Provider Demographics
NPI:1699153510
Name:GERTZ, AMY MICHELLE (LMFT)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:MICHELLE
Last Name:GERTZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6799 OVERSEAS HIGHWAY, UNIT 7
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050
Mailing Address - Country:US
Mailing Address - Phone:305-780-7500
Mailing Address - Fax:305-780-7501
Practice Address - Street 1:6799 OVERSEAS HIGHWAY, UNIT 7
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050
Practice Address - Country:US
Practice Address - Phone:305-780-7500
Practice Address - Fax:305-780-7501
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3039106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist