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General NPI Number Information
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NPI Number | 1265737340
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Entity Type | Individual
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Provider Name | AMANDA KAY LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 12/09/2023
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Provider Practice Location Address
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Address Line | 990 VILLA ST
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-1236
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Country | US
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Telephone | 702-416-0139
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Fax |
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Provider Business Mailing Address
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Address Line | 996 N 2750 W
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City | CLINTON
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State | UT
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Zip | 84015-7587
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Country | US
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Telephone | 702-416-0139
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 12137511-3902
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT001595
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 01422
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License Number State | NV
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