Healthcare Provider Details

I. General information

NPI: 1669231197
Provider Name (Legal Business Name): AMANDA HARTT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 PURCHASE ST UNIT 2
NEW BEDFORD MA
02740-6694
US

IV. Provider business mailing address

1213 PURCHASE ST
NEW BEDFORD MA
02740-6694
US

V. Phone/Fax

Practice location:
  • Phone: 508-443-4758
  • Fax:
Mailing address:
  • Phone: 508-443-4758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: