Provider Demographics
NPI:1699901785
Name:FLORA, AMY MARIE (MHA)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:FLORA
Suffix:
Gender:F
Credentials:MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6467 HUGHES RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-1254
Mailing Address - Country:US
Mailing Address - Phone:931-237-7145
Mailing Address - Fax:
Practice Address - Street 1:8833 CINCINNATI DAYTON RD STE 105
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-7106
Practice Address - Country:US
Practice Address - Phone:513-759-9744
Practice Address - Fax:513-488-1480
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health