Active NPIIndividual provider

Amanda J Fortin, LCMHC

Counselor, Mental Health in New London, New Hampshire

NPI Number1962191809
Practice location
35 Newport RD, New London, NH 03257-5413
Fax
603-865-1327
Last updated
May 16, 2023

Amanda Jane Fortin is a Counselor, Mental Health based in New London, NH. Amanda Jane Fortin practices in New London, NH and has the professional credentials of LCMHC. The NPI Number for Amanda Jane Fortin is 1962191809 and holds a License No. 2643 (NH). The current practice location address for Amanda Jane Fortin is 35 Newport RD, New London, NH 03257-5413 and can be reached out via phone at 603-865-1321 and via fax at 603-865-1327.

Provider Profile Details

NPI Number
1962191809
Provider Name
Amanda Jane Fortin
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
35 Newport RD, New London, NH 03257-5413
Phone Number
603-865-1321
Fax Number
603-865-1327
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Other Names
Amanda Jane Lary (Former Name)
Provider Enumeration Date
May 5, 2023
Last Update Date
May 16, 2023
Certification Date
May 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Newport RD
New London, NH 03257-5413
Zip
03257-5413
Phone Number
603-865-1321
Fax Number
603-865-1327
New London, NH 03257Get directions →

Provider Business Mailing Address Details

Address
35 Newport RD
New London, NH 03257-5413
City
New London
State
NH
Zip
03257-5413
Phone Number
603-865-1321
Fax Number
603-865-1327

License Information

License Number
2643
License State
NH
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 J Fortin, LCMHC?

The NPI number of Amanda J Fortin, LCMHC is 1962191809. It was assigned on May 5, 2023 and is currently active in the NPPES registry.

What is the specialty of Amanda J Fortin, LCMHC?

Amanda J Fortin, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NH under license number 2643.

Where does Amanda J Fortin, LCMHC practice?

The practice location is 35 Newport RD, New London, NH 03257-5413. The office can be reached at 603-865-1321 (phone) or 603-865-1327 (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 1962191809 directly on the NPPES registry website.

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