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NPI Code Detail

MEDICARE: MRS. AMANDA LYNN CARTER MS

MEDICARE: MRS. AMANDA LYNN CARTER MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor08173-INV

General Provider Information

NPI Number : 1255294617
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA LYNN CARTER MS
Provider Business Mailing Address
First Line : 6060 INGLESTON DR UNIT 1213
Second Line :
City : SPARKS
State : NV
Zip : 89436-7080
Country : US
Telephone Number : 775-240-4577
Fax Number :
Provider Business Practice Location Address
First Line : 3700 SAFE HARBOR WAY
Second Line :
City : RENO
State : NV
Zip : 89512-1137
Country : US
Telephone Number : 775-787-9411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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