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General NPI Number Information
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NPI Number | 1669265153
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Entity Type | Individual
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Provider Name | AMANDA BERT LPC
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 176 VIRGINIA AVE
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City | ROCHESTER
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State | PA
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Zip | 15074-1723
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Country | US
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Telephone | 724-770-9095
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Fax | 724-770-9096
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Provider Business Mailing Address
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Address Line | 63 PITT ST
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City | SHARON
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State | PA
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Zip | 16146-2102
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Country | US
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Telephone | 724-770-9095
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Fax | 724-770-9096
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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 | PC018550
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC018550
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License Number State | PA
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