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NPI Code Detail

MEDICARE: AMANDA BORTMAS

MEDICARE: AMANDA BORTMAS
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.2607520-TRNEOH
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1902655426
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BORTMAS
Provider Business Mailing Address
First Line : 101 PEMBROKE CT
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-6404
Country : US
Telephone Number : 724-396-1510
Fax Number : 724-972-4627
Provider Business Practice Location Address
First Line : 165 E PARK AVE
Second Line :
City : NILES
State : OH
Zip : 44446-2352
Country : US
Telephone Number : 330-544-8005
Fax Number : 330-544-9379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2024
Last Update Date : 03/09/2026

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Directions to “ AMANDA BORTMAS ” Practice Location

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