Amanda Renee Hart, CC, LMT is a
Counselor - Mental Health based in Longview, Washington. Amanda Renee Hart is licensed to practice in Washington (license number CL61519127) and her current practice location is
1105 15th Ave Ste F, Longview, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 703-6499.
NPI number for Amanda Renee Hart is 1164699013 and her current mailing address is 1105 15th Ave Ste F, Longview, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164699013.
Healthcare Provider's Profile
Full Name | Amanda Renee Hart |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1105 15th Ave Ste F, Longview, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164699013
- Provider Enumeration Date: 05/09/2008
- Last Update Date: 05/09/2024
Medical Identifiers
Medical identifiers for Amanda Renee Hart such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164699013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA00023855 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | CL61519127 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Renee Hart is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Renee Hart, CC, LMT 1105 15th Ave Ste F, Longview, WA 98632-3080 Ph: (360) 703-6499 | Amanda Renee Hart, CC, LMT 1105 15th Ave Ste F, Longview, WA 98632-3080 Ph: (360) 703-6499 |
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