MEDICARE: AMANDA LEIGH PACHECO SILVA MA

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
1	101YM0800X	Mental Health Counselor	097.0135545	VT

General Provider Information

NPI Number	:	1952262552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA LEIGH PACHECO SILVA MA

Provider Business Mailing Address
First Line	:	34 BLAIR PARK RD
Second Line	:	SUITE 104, PMB 136
City	:	WILLISTON
State	:	VT
Zip	:	05495-7991
Country	:	US
Telephone Number	:	802-489-6023
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 EAST RD
Second Line	:
City	:	MIDDLEBURY
State	:	VT
Zip	:	05753-1539
Country	:	US
Telephone Number	:	802-489-6023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	11/21/2025

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