Provider Demographics
NPI:1033468814
Name:HARMON, AMANDA LYNN (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LYNN
Last Name:HARMON
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6626 WAGNER WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-6904
Mailing Address - Country:US
Mailing Address - Phone:253-858-2224
Mailing Address - Fax:
Practice Address - Street 1:6626 WAGNER WAY STE 200
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-6904
Practice Address - Country:US
Practice Address - Phone:253-858-2224
Practice Address - Fax:253-858-2254
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-07
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist