Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Rudd Bonnell

Individual provider Mental Health Counselor · NPI 1154728194

Amanda Rudd Bonnell is a Mental Health Counselor in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
3

Practice location Address checks out

823 Dunlawton Ave Ste A
Port Orange, FL 32127-4221
Phone: (877) 823-4283
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-16-24732 (FL)
Mental Health Counselor Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154728194
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 19, 2014
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address1308 Peachtree Rd, Daytona Beach, FL 32114-5956

Other providers in Port Orange