MS. AMANDA HARDENBROOK


Address: 1007 James Pl, Raleigh, NC 27605-1105
Phone: 9199463853

MS. AMANDA HARDENBROOK (NPI# 1255450730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255450730
Entity Type Individual
Full Name MS. AMANDA HARDENBROOK
Credential MS, LPC, NCC
Practice Address 1007 James Pl
Raleigh
NC 27605-1105
Practice Telephone 9199463853
Practice Fax Number 9198338595
Mailing Telephone 9199463853
Mailing Fax Number 9198338595
Enumeration Date 2007-03-28
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YM0800X Counselor
Specialization: Mental Health
5507 NC Behavioral Health & Social Service Providers
X 101YP2500X Counselor
Specialization: Professional
5507 NC Behavioral Health & Social Service Providers

Office Location

Street Address 1007 JAMES PL
City RALEIGH
State NC
Zip Code 27605-1105

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City RALEIGH
Zip Code 27605

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Dataset Information

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.

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