Individual
MS. AMANDA SARA LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5007 PROVIDENCE RD STE 105, CHARLOTTE, NC 28226-5907
(704) 364-6594
(704) 364-6596
Mailing address
345 SHARON TOWNSHIP LN APT 398, CHARLOTTE, NC 28211-5187
(312) 343-4193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
13924
SC
1041C0700X
Clinical Social Worker
Primary
C013168
NC
Other
Enumeration date
12/16/2018
Last updated
02/02/2021
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