Provider Demographics
NPI:1053813808
Name:DOBLER, AMANDA ROLLINS (MS, NCC, LMHC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:ROLLINS
Last Name:DOBLER
Suffix:
Gender:F
Credentials:MS, NCC, LMHC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:LYNN
Other - Last Name:ROLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 354
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32588-0354
Mailing Address - Country:US
Mailing Address - Phone:507-373-3798
Mailing Address - Fax:850-273-5511
Practice Address - Street 1:111 BAILEY DR STE 2
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-2755
Practice Address - Country:US
Practice Address - Phone:850-737-3379
Practice Address - Fax:850-273-5511
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-07
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH16308101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMT4498OtherLICENSED MARRIAGE AND FAMILY THERAPIST
FLMH17266OtherLICENSED MENTAL HEALTH COUNSELOR