Individual
AMANDA MALOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
10900 WORLD TRADE BLVD, RALEIGH, NC 27617-4202
(919) 237-1337
Mailing address
10900 WORLD TRADE BLVD, RALEIGH, NC 27617-4202
(919) 237-1337
(919) 237-1625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005572-1
NY
101YM0800X
Mental Health Counselor
Primary
17209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005572-1
LMHC
NY
01
—
17209
LCMHC
NC
Enumeration date
03/01/2022
Last updated
08/11/2022
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