Amanda Parmley Counseling PLLC

Organization Active NPI Mental Health Counselor · Carolina Beach, NC

NPI 1811534969 · NPPES record last updated Feb 21, 2022

Key facts

NPI
1811534969
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
AMANDA PARMLEY COUNSELING PLLC
Practice address
1328 Lake Park Blvd N Ste 109
Carolina Beach, NC 28428-3906
Phone
(704) 802-9327
Fax
(704) 802-7755
NPI assigned
Dec 9, 2019
Organization subpart
No

Authorized official

Name
Amanda Parmley, LCMHC
Title
Owner
Phone
(704) 802-9327

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240827001380 NC Part B Supplier - Clinic/Group Practice 2264971910 Receives reassigned benefits from 1 practitioner
Practice locations: Carolina Beach, NC

National Provider Directory

Locations

116 S Main St
Ste 304
Mooresville, NC 28115

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

1328 Lake Park Blvd N Ste 109
Carolina Beach, NC 28428-3906

Mailing address

1328 Lake Park Blvd N Ste 109
Carolina Beach, NC 28428-3906
Phone (704) 802-9327

Other identifiers

IdentifierTypeStateIssuer
1366859167MedicaidNC

Other providers in Carolina Beach, NC

All providers in Carolina Beach, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.