Halecki, Amy

Halecki, Amy is an individual health care provider with primary practice located at 601 W Michigan St , Orlando FL 32805-6203. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Halecki, Amy can be contacted via phone (407) 317-7430.

Contact Information

Primary practice address
601 W Michigan St Orlando FL 32805-6203
Phone: (407) 317-7430
Fax: (407) 648-4150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 7363 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1720127053
LBN Legal business name Halecki, Amy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Apr 20th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720127053 NPPES
Florida MEDICAID 759297300
Florida MEDICAID 811534600

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