Healthcare Provider Details

I. General information

NPI: 1871412510
Provider Name (Legal Business Name): AMANDA REICHERT THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4089 W 30TH ST
ERIE PA
16506-1807
US

IV. Provider business mailing address

4089 W 30TH ST
ERIE PA
16506-1807
US

V. Phone/Fax

Practice location:
  • Phone: 814-812-2511
  • Fax: 814-812-2511
Mailing address:
  • Phone: 814-812-2511
  • Fax: 814-812-2511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMANDA REICHERT
Title or Position: LMFT
Credential: LMFT
Phone: 814-812-2511