Active NPIIndividual provider

Amanda Church

Counselor in Willimantic, Connecticut

NPI Number1013685049
Practice location
1310 Main St, Willimantic, CT 06226-1910
Fax
860-731-5536
Last updated
September 3, 2021

Amanda Church is a Counselor based in Willimantic, CT. Amanda Church practices in Willimantic, CT. The NPI Number for Amanda Church is 1013685049. The current practice location address for Amanda Church is 1310 Main St, Willimantic, CT 06226-1910 and can be reached out via phone at 860-731-5522 and via fax at 860-731-5536.

Provider Profile Details

NPI Number
1013685049
Provider Name
Amanda Church
Provider Entity Type
Individual
Gender
Female
Address
1310 Main St, Willimantic, CT 06226-1910
Phone Number
860-731-5522
Fax Number
860-731-5536
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
September 3, 2021
Last Update Date
September 3, 2021
Certification Date
September 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1310 Main St
Willimantic, CT 06226-1910
Zip
06226-1910
Phone Number
860-731-5522
Fax Number
860-731-5536
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
City
Windsor
State
CT
Zip
06095-1588
Phone Number
860-731-5522
Fax Number
860-731-5536

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda Church?

The NPI number of Amanda Church is 1013685049. It was assigned on September 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Amanda Church?

Amanda Church is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Amanda Church practice?

The practice location is 1310 Main St, Willimantic, CT 06226-1910. The office can be reached at 860-731-5522 (phone) or 860-731-5536 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013685049 directly on the NPPES registry website.

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