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Contact Information

AMY BUCCIARELLI, MS,ATR-BC, LMHC, NCC
1548 THE GREENS WAY STE 4
JACKSONVILLE BEACH, FL32250-2468
 Phone: 904-201-2122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for AMY BUCCIARELLI · (Female)

NPI # 1437871126
Status Active
Credentials MS,ATR-BC, LMHC, NCC
Entity Individual
Enumeration date 09/19/2022
Last updated 10/31/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 10-037
  • FL License # MH1152
  • FL License # MH11552
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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