Amanda Bryant
Individual provider Active NPI Mental Health Counselor · Camilla, GA
NPI 1679980247 · NPPES record last updated Jul 16, 2014
Key facts
- NPI
- 1679980247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 198 S. Macarthur Dr.
Camilla, GA 31730 - Phone
- (229) 336-2247
- Fax
- (229) 336-8009
- NPI assigned
- Jul 16, 2014
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
198 S. Macarthur Dr.
Camilla, GA 31730
Mailing address
198 S. Macarthur Dr.
Camilla, 6370 31730
GE
Phone (229) 336-2247
Other providers in Camilla, GA
- Jana Hart Brock
- Jamekah Brooks
- Diangelia Brown
- Trevor D Broyles
- Donald Christopher Brunelle
- Randin Burley
- Shayla Burns
- Remell Butler
- Melinda Lafaye Butts
- Camilla Drug Company, LLC
All providers in Camilla, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2014. 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.