Individual
AMANDA LASHAUN WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
103 OAK COVE DR, COLUMBIA, SC 29229-7513
(912) 581-5695
Mailing address
103 OAK COVE DR, COLUMBIA, SC 29229-7513
(912) 581-5695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10429
SC
106S00000X
Behavior Technician
RBT-21-185844
GA
Other
Enumeration date
09/22/2021
Last updated
12/08/2025
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