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NPI Code Detail

MEDICARE: AMANDA JOANNE SCHMALENBERGER LPC-MHSP

MEDICARE: AMANDA JOANNE SCHMALENBERGER LPC-MHSP
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 Counselor

General Provider Information

NPI Number : 1396106050
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA JOANNE SCHMALENBERGER LPC-MHSP
Provider Business Mailing Address
First Line : 4884 COLLEGE DR E
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-5883
Country : US
Telephone Number : 423-309-5483
Fax Number :
Provider Business Practice Location Address
First Line : 2200 MORRIS HILL RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-2818
Country : US
Telephone Number : 423-855-3131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2016
Last Update Date : 12/31/2019

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Directions to “ AMANDA JOANNE SCHMALENBERGER LPC-MHSP” Practice Location

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