Provider Demographics
NPI:1356133250
Name:TEJEDA, AMY (LMFT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:TEJEDA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 ROBERTS FAMILY LN
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-7112
Mailing Address - Country:US
Mailing Address - Phone:407-227-5584
Mailing Address - Fax:
Practice Address - Street 1:350 ROBERTS FAMILY LN
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-7112
Practice Address - Country:US
Practice Address - Phone:407-227-5584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4991106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist