Healthcare Provider Details

I. General information

NPI: 1497600316
Provider Name (Legal Business Name): AMANDA ISLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

771 OVERTON RIDGE WAY
BOILING SPRINGS SC
29316-5384
US

IV. Provider business mailing address

771 OVERTON RIDGE WAY
BOILING SPRINGS SC
29316-5384
US

V. Phone/Fax

Practice location:
  • Phone: 864-978-4481
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number10593
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: