Amanda M. Wyatt, LLC
Organization Active NPI Mental Health Counselor · Valparaiso, IN
NPI 1912417601 · NPPES record last updated Oct 6, 2017
Key facts
- NPI
- 1912417601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39001619A (IN)
- Legal business name
- AMANDA M. WYATT, LLC
- Practice address
- 2005 Valparaiso St Ste 107
Valparaiso, IN 46383-3330 - Phone
- (219) 929-6205
- NPI assigned
- Oct 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Amanda M Wyatt, LMHC
- Title
- Owner
- Phone
- (219) 929-6205
Practitioners 1
-
Amanda M Wyatt, MA, ATR-BC, LMHC
National Provider Directory
Locations
402 Wall St
Ste 53
Valparaiso, IN 46383
2005 Valparaiso St
Ste 107
Valparaiso, IN 46383
Phone (219) 484-2143
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 39001619A | IN | Yes |
Addresses
Primary practice location
2005 Valparaiso St Ste 107
Valparaiso, IN 46383-3330
Mailing address
3205 Clairborne Xing
Valparaiso, IN 46385-2970
Phone (219) 929-6205
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2017. 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.