E. Amanda Dellinger, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC002412 Issued in GA

Legal business name

E. AMANDA DELLINGER, LLC

Practice address

3105 Creekside Village Dr NW
Suite 706
Kennesaw, GA 30144-2394

Phone

(678) 986-1816

NPI assigned

May 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Evelyn Amanda Dellinger, LPC, NCCNPI 1689991523

Title

Managing Member

Phone

(678) 986-1816

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelyn Amanda Dellinger, LPC, NCC

  • Professional Counselor
  • Kennesaw, GA
  • NPI 1689991523
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1700104577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W MAIN ST",
            "address_2": "SUITE 206",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203568",
            "telephone_number": "678-986-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CREEKSIDE VILLAGE DR NW",
            "address_2": "SUITE 706",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442394",
            "telephone_number": "678-986-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. AMANDA DELLINGER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "DELLINGER",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "678-986-1816",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC002412",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC002412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.