MEDICARE: AMANDA HARMS LPC

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	LAC-16775	AZ
2	101Y00000X	Counselor	LPCC.0015779	CO
3	101YP2500X	Professional Counselor	LPC.0021909	CO

General Provider Information

NPI Number	:	1255821831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA HARMS LPC

Provider Business Mailing Address
First Line	:	17659 WATER FLUME WAY
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-7443
Country	:	US
Telephone Number	:	720-260-4537
Fax Number	:

Provider Business Practice Location Address
First Line	:	17659 WATER FLUME WAY
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-7443
Country	:	US
Telephone Number	:	720-260-4537
Fax Number	:

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

Provider Enumeration Date	:	05/18/2018
Last Update Date	:	01/08/2026

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