AMANDA LEIGH RUSSELL (NPI# 1235745316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235745316 |
| Entity Type | Individual |
| Full Name | AMANDA LEIGH RUSSELL |
| Credential | LPC-MHSP |
| Practice Address |
2180 Union Ave Memphis TN 38104-4205 |
| Mailing Address |
4561 Amboy Rd Memphis TN 38117-6101 |
| Practice Telephone | 9012762200 |
| Mailing Telephone | 9013359782 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3202 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750859328 | Amanda Lee Russell | Occupational Therapy Assistant | 87 Division St, Ballston Spa, NY 12020-1006 | 2018-11-12 |
| 1851841969 | Amanda Louise Russell | Social Worker | 1315 Highway 2 Ste 3, Sandpoint, ID 83864-2724 | 2016-10-12 |
| 1003236902 | Amanda Russell | Specialist/Technologist | 5 Highland St, Amesbury, MA 01913-2215 | 2014-04-18 |
| 1649557463 | Amanda Marie Russell | Social Worker | 3819 E 15th St, Tulsa, OK 74112-5908 | 2011-11-08 |
| 1932753902 | Amanda Russell | Nurse Practitioner | 2311 Nw Northrup St Ste 100, Portland, OR 97210-2912 | 2019-07-29 |
| 1972094332 | Amanda Russell | Behavior Technician | 1123 Queensborough Blvd Ste 102, Mt Pleasant, SC 29464-3682 | 2018-05-22 |
| 1730692559 | Amanda Russell | Social Worker | 331 Main St, Norwich, CT 06360-5836 | 2017-11-15 |
| 1528436888 | Amanda Russell | Social Worker | 439 Breeze St Ste 200, Craig, CO 81625-2646 | 2015-09-03 |
| 1114312295 | Amanda Russell | Family Medicine | 13855 Courthouse Rd, Dinwiddie, VA 23841-2254 | 2015-04-05 |
| 1922432293 | Amanda Eve Russell | Counselor | 2323 N Discovery Pl, Spokane Valley, WA 99216-1566 | 2013-08-22 |
| Street Address |
2180 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134377013 | Patricia Marcia Maynard | Counselor | 2180 Union Ave, Memphis, TN 38104-4205 | 2008-09-03 |
| 1326654435 | Ashley Murphy | Counselor | 2180 Union Ave, Memphis, TN 38104-4205 | 2020-09-23 |
| 1154937852 | Flo Yarbro | Counselor | 2180 Union Ave, Memphis, TN 38104-4205 | 2020-09-17 |
| 1790390987 | Liesl Denise Danley | Counselor | 2180 Union Ave, Memphis, TN 38104-4205 | 2020-09-14 |
| 1578109500 | Rachael Desaussure | Counselor | 2180 Union Ave, Memphis, TN 38104-4205 | 2019-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048542 | Opportunities Never End LLC | Counselor | 5629 Falling Bark Dr, Memphis, TN 38134-6671 | 2020-06-22 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1801444872 | Mary Hilgeman Neal | Counselor | 297 Mary Ann Dr, Memphis, TN 38117-2805 | 2019-09-03 |
| 1134695851 | Savannah Burton | Counselor | 895 S Cooper St Ste 12&3, Memphis, TN 38104-5604 | 2018-10-19 |
| 1205301611 | Britney Bryson | Counselor | 4525 Lunsford Dr, Memphis, TN 38125-3284 | 2018-10-11 |
| 1730663063 | Timothy Terry | Counselor | 1714 Monroe Ave, Memphis, TN 38104-3924 | 2018-09-22 |
| 1154801934 | Elizabeth Marie Vigus | Counselor | 1407 Union Ave Ste 805, Memphis, TN 38104-3642 | 2018-08-21 |
| 1316436439 | Mardrey Alicia Wade Kiles | Counselor | 4440 Bishop Hills Dr, Memphis, TN 38128-7427 | 2018-05-03 |
| 1801399191 | Crysta Michelle Nilsson | Counselor | 5118 Park Ave Ste 115, Memphis, TN 38117-5720 | 2018-03-13 |
| 1750897146 | Kelley Goodwin | Counselor | 2023 W Houston Way, Memphis, TN 38139-6933 | 2017-12-20 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.