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Amanda Dortch
Counselor in Purvis, Mississippi
NPI 1164145983

Amanda Dortch is a Counselor based in Hattiesburg, MS. Amanda Dortch practices in Purvis, MS. The NPI Number for Amanda Dortch is 1164145983 and holds a License No. 5553 (Mississippi).

The current practice location address for Amanda Dortch is 805 Highway 589, Purvis, MS and can be reached out via phone at 601-794-6543 and via fax at 601-794-2455.

Location: 805 Highway 589, Purvis, MS, 39404-8679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164145983
Provider Name
Amanda Dortch
Credential
Provider Entity Type
Individual
Gender
Female
Address
805 Highway 589, Purvis, MS, 39404-8679
Phone Number
601-794-6543
Fax Number
601-794-2455
Provider Enumeration Date
09/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
805 Highway 589
City
Purvis
State
Mississippi
Zip
39475-4194
Phone Number
601-794-6543
Fax Number
601-794-2455
person
Provider Business Mailing Address Details
Address
805 Highway 589
City
Purvis
State
Mississippi
Zip
39475-4194
Phone Number
601-794-6543
Fax Number
601-794-2455
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
5553 (Mississippi)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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