Provider Demographics
NPI:1073062170
Name:CONNER, AMANDA MCKINNEY (MMFT, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:MCKINNEY
Last Name:CONNER
Suffix:
Gender:F
Credentials:MMFT, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 HARDIN RD
Mailing Address - Street 2:
Mailing Address - City:CHESNEE
Mailing Address - State:SC
Mailing Address - Zip Code:29323-8557
Mailing Address - Country:US
Mailing Address - Phone:828-919-1158
Mailing Address - Fax:
Practice Address - Street 1:28 PARKWAY COMMONS WAY
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-5213
Practice Address - Country:US
Practice Address - Phone:864-879-4388
Practice Address - Fax:864-879-4303
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-30
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4630106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist