Healthcare Provider Details

I. General information

NPI: 1891616033
Provider Name (Legal Business Name): AMANDA LEE HUNSUCKER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W MEETING ST
MORGANTON NC
28655-3866
US

IV. Provider business mailing address

2626 LAIL RD
MORGANTON NC
28655-6433
US

V. Phone/Fax

Practice location:
  • Phone: 828-414-8755
  • Fax:
Mailing address:
  • Phone: 828-244-0760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024128
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: