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General NPI Number Information
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NPI Number | 1457264269
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Entity Type | Organization
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Legal Business Name | AMANDA PARISH, MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 123 PIKE ST STE 300
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City | PORT JERVIS
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State | NY
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Zip | 12771-1824
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Country | US
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Telephone | 845-286-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 8 KINGSTON AVE
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City | PORT JERVIS
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State | NY
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Zip | 12771-1718
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Country | US
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Telephone | 845-286-9991
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA MELISSA PARISH
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Credential | LMHC-D
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Telephone | 845-286-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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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