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NPI Code Detail

MEDICARE: GREGORY AMODEO LPC

MEDICARE: GREGORY AMODEO 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
1101YP2500XProfessional Counselor0701007816VA

General Provider Information

NPI Number : 1447733886
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY AMODEO LPC
Provider Business Mailing Address
First Line : 718 W OLD MOUNTAIN RD
Second Line :
City : LOUISA
State : VA
Zip : 23093-6329
Country : US
Telephone Number : 757-663-7184
Fax Number :
Provider Business Practice Location Address
First Line : 804 MOOREFIELD PARK DR STE 204
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3670
Country : US
Telephone Number : 804-372-3737
Fax Number : 804-585-1026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2018
Last Update Date : 12/22/2025

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