Healthcare Provider Details

I. General information

NPI: 1922895135
Provider Name (Legal Business Name): AMY ELAINE VELDER M.ED., M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 BUCKWALTER PKWY STE 3UV
BLUFFTON SC
29910-4132
US

IV. Provider business mailing address

11 SAGEBROOK DR
BLUFFTON SC
29910-7926
US

V. Phone/Fax

Practice location:
  • Phone: 843-290-6828
  • Fax:
Mailing address:
  • Phone: 816-352-9014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: