Shiloh Amanda Wormley, LMHC
Individual provider Active NPI Mental Health Counselor · Phelps, NY
NPI 1316638513 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1316638513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 006441-01 (NY)
- Practice address
- 1932 Fort Hill Rd
Phelps, NY 14532-9768 - Phone
- (315) 521-4505
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006441-01 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 006441-01 | NY | Yes |
Addresses
Primary practice location
1932 Fort Hill Rd
Phelps, NY 14532-9768
Mailing address
1932 Fort Hill Rd
Phelps, NY 14532-9768
Phone (315) 521-4505
Other names
- Shiloh Amanda Owens
Other providers in Phelps, NY
- State of New York Comptrollers Office
- Karissa Kelley Vancamp
- Rachel Waltz
- Whitson Pharmacy, Inc.
- William Woodworth
All providers in Phelps, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.