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NPI Code Detail

MEDICARE: AMANDA WALTERS LPC

MEDICARE: AMANDA WALTERS 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
1101YM0800XMental Health CounselorC.2607975OH

General Provider Information

NPI Number : 1669317996
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA WALTERS LPC
Provider Business Mailing Address
First Line : 4653 E MAIN ST
Second Line :
City : WHITEHALL
State : OH
Zip : 43213-3298
Country : US
Telephone Number : 614-359-8109
Fax Number :
Provider Business Practice Location Address
First Line : 5665 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-9122
Country : US
Telephone Number : 614-359-8109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ AMANDA WALTERS LPC” Practice Location

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