Amanda Earnhardt, LPCA
Individual provider Active NPI Professional Counselor · China Grove, NC
NPI 1578817151 · NPPES record last updated Nov 2, 2012
Key facts
- NPI
- 1578817151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- A9786 (NC)
- Practice address
- 417 N Main St
China Grove, NC 28023-2533 - Phone
- (704) 855-3276
- Fax
- (704) 855-0823
- NPI assigned
- Nov 2, 2012
- 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 |
|---|---|---|---|
| A9786 | NC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A9786 | NC | Yes |
Addresses
Primary practice location
417 N Main St
China Grove, NC 28023-2533
Mailing address
402 Louise Ave
China Grove, NC 28023-2020
Phone (704) 855-3276
Other providers in China Grove, NC
- Lavanya Desai
- Michelle M. Digia
- David Daniel Diloreto
- Samantha S Drye
- Kelly Susan Dwiggins
- Eckerd Corporation
- Elisabeth Farmer Edds
- Elevate Human Systems
- Family Matters Home Care LLC
- Caitlyn Farr
All providers in China Grove, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2012. 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.