Individual
AMANDA STAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC/A
Contact information
Practice address
844 MALIBU DR, COLUMBIA, SC 29209-2446
(330) 519-9170
Mailing address
844 MALIBU DR, COLUMBIA, SC 29209-2446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5820
SC
251S00000X
Community/Behavioral Health Agency
Primary
5820
SC
Other
Enumeration date
09/10/2014
Last updated
04/03/2026
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