Amanda Christine Salas, MSW
Individual provider Active NPI Mental Health Counselor · Decaturville, TN
NPI 1548042476 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1548042476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 000702126 (TN)
- Practice address
- 437 Roach Rd
Decaturville, TN 38329-4404 - Phone
- (731) 307-5302
- NPI assigned
- Oct 16, 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 |
|---|---|---|---|
| 000702126 | TN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000702126 | TN | Yes |
Addresses
Primary practice location
437 Roach Rd
Decaturville, TN 38329-4404
Mailing address
437 Roach Rd
Decaturville, TN 38329-4404
Phone (731) 307-5302
Other providers in Decaturville, TN
- Jonell Montgomery
- Sunny Reed Montgomery
- Teresa Nowell
- Rachel Leigh Pope
- Renee L Ruth
- Dana Savage
- Lauren Everett Savell
- Holly Scott
- Tammy R Scott
- Chelsey Johnson Sparks
All providers in Decaturville, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 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.