Amanda Waller, LPC
Counselor, Professional in Eatontown, New Jersey
1710590146- Practice location
- 154 Waypoint Dr, Eatontown, NJ 07724-2184
- Phone
- 908-310-7788
- Fax
- —
- Last updated
- December 9, 2022
Amanda Waller is a Counselor, Professional based in Eatontown, NJ. Amanda Waller practices in Eatontown, NJ and has the professional credentials of LPC. The NPI Number for Amanda Waller is 1710590146 and holds a License No. 37PC00637200 (NJ). The current practice location address for Amanda Waller is 154 Waypoint Dr, Eatontown, NJ 07724-2184 and can be reached out via phone at 908-310-7788.
Provider Profile Details
- NPI Number
- 1710590146
- Provider Name
- Amanda Waller
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 154 Waypoint Dr, Eatontown, NJ 07724-2184
- Phone Number
- 908-310-7788
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 25, 2020
- Last Update Date
- December 9, 2022
- Certification Date
- December 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 154 Waypoint Dr
Eatontown, NJ 07724-2184 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-2184
- Phone Number
- 908-310-7788
Provider Business Mailing Address Details
- Address
- 409 South Street Po Box 1111
Eatontown, NJ 07724-4111 - City
- Eatontown
- State
- NJ
- Zip
- 07724-4111
- Phone Number
- 908-310-7788
License Information
- License Number
- 37PC00637200
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Waller, LPC?
The NPI number of Amanda Waller, LPC is 1710590146. It was assigned on August 25, 2020 and is currently active in the NPPES registry.
What is the specialty of Amanda Waller, LPC?
Amanda Waller, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00637200.
Where does Amanda Waller, LPC practice?
The practice location is 154 Waypoint Dr, Eatontown, NJ 07724-2184. The office can be reached at 908-310-7788 (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 1710590146 directly on the NPPES registry website.