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NPI Code Detail

MEDICARE: AMANDA DESIREE WEILHAMMER LMHC

MEDICARE:   AMANDA DESIREE WEILHAMMER  LMHC
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
1101YM0800XMental Health Counselor39003432AIN

General Provider Information

NPI Number : 1588124226
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA DESIREE WEILHAMMER LMHC
Provider Business Mailing Address
First Line : 2240 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-5728
Country : US
Telephone Number : 317-644-7221
Fax Number : 317-464-9575
Provider Business Practice Location Address
First Line : 2240 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-5728
Country : US
Telephone Number : 317-634-6341
Fax Number : 317-464-9575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2019
Last Update Date : 08/28/2019

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Directions to “ AMANDA DESIREE WEILHAMMER LMHC” Practice Location

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