Individual
AMANDA LILLIAN THENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 BUSH RIVER DR, FARMVILLE, VA 23901-3183
(434) 392-6455
(434) 392-9221
Mailing address
503 OLD PLANTATION DR STE 141, LYNCHBURG, VA 24502-6903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0904013501
VA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
07/18/2025
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