MEDICARE: AMANDA MICHELLE MCDOWELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MHCA.MC.61414600	WA

General Provider Information

NPI Number	:	1164373304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MICHELLE MCDOWELL

Provider Business Mailing Address
First Line	:	522 W RIVERSIDE AVE STE N
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0581
Country	:	US
Telephone Number	:	360-409-7558
Fax Number	:

Provider Business Practice Location Address
First Line	:	673 WOODLAND SQUARE LOOP SE STE 320
Second Line	:
City	:	LACEY
State	:	WA
Zip	:	98503-1066
Country	:	US
Telephone Number	:	360-409-7558
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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