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NPI Code Detail

MEDICARE: AMANDA KAY MARSHALL LMSW

MEDICARE: AMANDA KAY MARSHALL LMSW
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
1101Y00000XCounselor
2104100000XSocial Worker12632TN

General Provider Information

NPI Number : 1376024224
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA KAY MARSHALL LMSW
Provider Business Mailing Address
First Line : 500 28TH AVE N STE 210
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4456
Country : US
Telephone Number : 888-374-5066
Fax Number : 719-623-0165
Provider Business Practice Location Address
First Line : 500 28TH AVE N STE 210
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4456
Country : US
Telephone Number : 888-374-5066
Fax Number : 719-623-0165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 05/03/2024

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Directions to “ AMANDA KAY MARSHALL LMSW” Practice Location

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