Basic Information
| Provider Information | |||||||||
| NPI: | 1487266318 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALLEN | ||||||||
| FirstName: | AMANDA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 95 GREYMONT LN APT 203 | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288060264 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2527223559 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 THOMAS HEIGHTS RD # 203 | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287349799 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285249385 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2020 | ||||||||
| LastUpdateDate: | 08/21/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.