Individual
AMANDA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 W BROADWAY APT 405, LONG BEACH, NY 11561-4025
(516) 647-8512
Mailing address
25 W BROADWAY APT 405, LONG BEACH, NY 11561-4025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/07/2019
Last updated
09/23/2024
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