=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750861738
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMANDA VERAS LMHC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2018
-----------------------------------------------------
Last Update Date | 07/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 45 S ROUTE 9W UNIT 41 #1007
-----------------------------------------------------
City | WEST HAVERSTRAW
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10993
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-867-4324
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 45 S ROUTE 9W UNIT 41 #1007
-----------------------------------------------------
City | WEST HAVERSTRAW
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10993-1053
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-867-4324
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 015427
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------