- Practice location
- 352 S Calapooia St Ste B, Sutherlin, OR 97479-9558
- Phone
- 541-485-2711
- Fax
- —
- Last updated
- March 8, 2024
Amanda Allen is a Counselor, Mental Health based in Sutherlin, OR. Amanda Allen practices in Sutherlin, OR and has the professional credentials of QMHA-R, CADC-R. The NPI Number for Amanda Allen is 1629775812 and holds a License No. T-21-742 (OR). The current practice location address for Amanda Allen is 352 S Calapooia St Ste B, Sutherlin, OR 97479-9558 and can be reached out via phone at 541-485-2711.
Provider Profile Details
- NPI Number
- 1629775812
- Provider Name
- Amanda Allen
- Credential
- QMHA-R, CADC-R
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 352 S Calapooia St Ste B, Sutherlin, OR 97479-9558
- Phone Number
- 541-485-2711
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 8, 2023
- Last Update Date
- March 8, 2024
- Certification Date
- March 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 352 S Calapooia St Ste B
Sutherlin, OR 97479-9558 - City
- Sutherlin
- State
- Oregon
- Zip
- 97479-9558
- Phone Number
- 541-485-2711
Provider Business Mailing Address Details
- Address
- 1255 Pearl St
Eugene, OR 97401-3570 - City
- Eugene
- State
- OR
- Zip
- 97401-3570
- Phone Number
- 417-995-3865
License Information
- License Number (1)
- T-21-742
- License State (1)
- OR
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 23-QMHA-R-3708
- License State (2)
- OR
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Sutherlin, OR
View all Counselor, Mental Health providers in Sutherlin →Frequently Asked Questions
What is the NPI number of Amanda Allen, QMHA-R, CADC-R?
The NPI number of Amanda Allen, QMHA-R, CADC-R is 1629775812. It was assigned on February 8, 2023 and is currently active in the NPPES registry.
What is the specialty of Amanda Allen, QMHA-R, CADC-R?
Amanda Allen, QMHA-R, CADC-R is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number T-21-742.
Where does Amanda Allen, QMHA-R, CADC-R practice?
The practice location is 352 S Calapooia St Ste B, Sutherlin, OR 97479-9558. The office can be reached at 541-485-2711 (phone).
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 1629775812 directly on the NPPES registry website.