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NPI Code Detail

MEDICARE: AMANDA LEWIS

MEDICARE: AMANDA LEWIS
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
1101YM0800XMental Health Counselor2268WV

General Provider Information

NPI Number : 1316320609
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LEWIS
Provider Business Mailing Address
First Line : 1101 ABOUT TOWN PL
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-5838
Country : US
Telephone Number : 304-685-9181
Fax Number :
Provider Business Practice Location Address
First Line : 1101 ABOUT TOWN PL
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-5838
Country : US
Telephone Number : 304-685-9181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2015
Last Update Date : 12/10/2025

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Directions to “ AMANDA LEWIS ” Practice Location

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