Individual
MS. AMANDA BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 MARKET ST FL 6, PHILADELPHIA, PA 19104-2669
(215) 586-7607
(215) 586-7547
Mailing address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-0088
(215) 246-0937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
05
—
1303287
—
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
04/13/2015
Last updated
09/10/2021
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