Provider Demographics
NPI:1992100648
Name:ELDER, AMEE (LMHC)
Entity type:Individual
Prefix:
First Name:AMEE
Middle Name:
Last Name:ELDER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1469 SUNNINGDALE WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-8039
Mailing Address - Country:US
Mailing Address - Phone:407-252-0695
Mailing Address - Fax:
Practice Address - Street 1:142 W LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2908
Practice Address - Country:US
Practice Address - Phone:407-330-5060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12737101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health