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Organization

AMANDA KIRBY COUNSELING, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA LEIGH KIRBY MS, EDS, LPC (OWNER, PRESIDENT)
(336) 457-0827
Entity
Organization

Contact information

Practice address
1175 REVOLUTION MILL DRIVE, SUITE 29-2, GREENSBORO, NC 27405
(336) 457-0827
(877) 616-4840
Mailing address
1175 REVOLUTION MILL DRIVE, SUITE 29-2, GREENSBORO, NC 27405
(336) 457-0827
(877) 616-4840

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6103295
NC
Enumeration date
07/07/2016
Last updated
06/12/2019
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