# ANDERSON THERAPY GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anderson Therapy Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548892672
- **Authorized official:** DR. AMANDA N ANDERSON PHD (OWNER)
- **Authorized official phone:** (360) 500-1704

## Contact information

- **Practice address:** 104 W 4TH ST STE 103, ABERDEEN, WA 98520-3932
- **Practice address phone:** (360) 612-0456
- **Mailing address:** PO BOX 558, COSMOPOLIS, WA 98537-0558
- **Mailing address phone:** (360) 612-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/06/2020
- **Last updated:** 02/06/2020