MEDICARE: AMANDA WATKINS LCMHC

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
1	101YM0800X	Mental Health Counselor	12141	NC

General Provider Information

NPI Number	:	1861859407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA WATKINS LCMHC

Provider Business Mailing Address
First Line	:	1011 TUNNEL RD STE 240
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28805-2060
Country	:	US
Telephone Number	:	828-548-1383
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 TUNNEL RD STE 240
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28805-2060
Country	:	US
Telephone Number	:	828-548-1383
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2016
Last Update Date	:	01/09/2024

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