Healthcare Provider Details

I. General information

NPI: 1093305245
Provider Name (Legal Business Name): AMANDA L WESTRICH LPC, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2021
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 HIGHWAY 70 BLDG 7A
MANASQUAN NJ
08736-2609
US

IV. Provider business mailing address

88 LYNN CT
BELFORD NJ
07718-1116
US

V. Phone/Fax

Practice location:
  • Phone: 732-814-3005
  • Fax:
Mailing address:
  • Phone: 973-390-0285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00306200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01302100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: