Healthcare Provider Details

I. General information

NPI: 1124649835
Provider Name (Legal Business Name): AMELIA O'NEIL LPC/LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 STATE AVE NE
OLYMPIA WA
98506-3984
US

IV. Provider business mailing address

711 STATE AVE NE
OLYMPIA WA
98506-3984
US

V. Phone/Fax

Practice location:
  • Phone: 360-918-7860
  • Fax:
Mailing address:
  • Phone: 360-918-7860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC61649899
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC9737
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: