Provider Demographics
NPI:1033634696
Name:COPE, AMANDA ANN-MORGAN (LPC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ANN-MORGAN
Last Name:COPE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WINSTON DR
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-3725
Mailing Address - Country:US
Mailing Address - Phone:269-317-1763
Mailing Address - Fax:
Practice Address - Street 1:491 COLUMBIA AVE E STE 4
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-5468
Practice Address - Country:US
Practice Address - Phone:269-962-9611
Practice Address - Fax:269-962-9612
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013872101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional