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NPI Code Detail

MEDICARE: MRS. AMANDA L STILWELL LPC

MEDICARE: MRS. AMANDA L STILWELL 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 CounselorC.1801328OH

General Provider Information

NPI Number : 1558842088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA L STILWELL LPC
Provider Business Mailing Address
First Line : 1070 COMMERCE DR STE 101
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-5231
Country : US
Telephone Number : 419-482-8382
Fax Number :
Provider Business Practice Location Address
First Line : 1070 COMMERCE DR STE 101
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-5231
Country : US
Telephone Number : 419-482-8382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 02/03/2021

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Directions to “ MRS. AMANDA L STILWELL LPC” Practice Location

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