Edwards, Amanda Mervine

Edwards, Amanda Mervine is an individual health care provider with primary practice located at 19563 E Mainstreet Ste 206 , Parker CO 80138-7394. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Edwards, Amanda Mervine can be contacted via phone (720) 810-2668.

Contact Information

Primary practice address
19563 E Mainstreet Ste 206 Parker CO 80138-7394
Phone: (720) 810-2668
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 13551 Colorado

Profile Details

NPI number 1306249370
LBN Legal business name Edwards, Amanda Mervine
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2014
Last updated Jul 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306249370 NPPES
Colorado MEDICAID 9000153016

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