Amanda Davis, | |
1732 Chadwick Shores Dr, Sneads Ferry, NC 28460-9282 | |
(317) 332-1334 | |
Not Available |
Full Name | Amanda Davis |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1732 Chadwick Shores Dr, Sneads Ferry, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316528326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | A15541 (North Carolina) | Primary |
Entity Name | Pride In North Carolina Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558 |
Mailing Address | Practice Location Address |
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Amanda Davis, 1732 Chadwick Shores Dr, Sneads Ferry, NC 28460-9282 Ph: () - | Amanda Davis, 1732 Chadwick Shores Dr, Sneads Ferry, NC 28460-9282 Ph: (317) 332-1334 |
Charles William Bauer, LPC, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 Fulcher Landing Rd, Sneads Ferry, NC 28460 Phone: 910-358-5126 | |
Kristen Lindinger, LPC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Needlerush Rd, Sneads Ferry, NC 28460 Phone: 717-497-5474 | |
Heidi Lynn Richardson, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Mckenzie Pl, Sneads Ferry, NC 28460 Phone: 309-297-9941 | |
Alicia L. Chinlund, MA LPA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1995 Nc Hwy 172, Unit B, Sneads Ferry, NC 28460 Phone: 910-327-0800 Fax: 888-728-0060 | |
Mrs. Jessica Delia Campagna, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Lakeside Dr, Sneads Ferry, NC 28460 Phone: 858-254-5870 | |
Karyn Ann Miracle, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 Bridgeport Dr, Sneads Ferry, NC 28460 Phone: 910-330-9719 |