Organization
AMANDA PARK LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA L PARK LPC, LCMHC (OWNER)
(757) 202-5291
Entity
Organization
Contact information
Practice address
3803 BACH CIR, GREENVILLE, NC 27858-5345
(757) 202-5291
Mailing address
3803 BACH CIR, GREENVILLE, NC 27858-5345
(757) 202-5291
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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