Provider Demographics
NPI:1053296798
Name:GLATTHAAR, AMANDA RENEE (RMHCI)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:RENEE
Last Name:GLATTHAAR
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 43RD AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-4435
Mailing Address - Country:US
Mailing Address - Phone:425-417-2429
Mailing Address - Fax:425-417-2429
Practice Address - Street 1:111 2ND AVE NE STE 1101
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3443
Practice Address - Country:US
Practice Address - Phone:727-344-9867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27276101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health