Provider Demographics
NPI:1093608556
Name:SPIVEY, AMANDA A (MA, LPCA, NCC)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:A
Last Name:SPIVEY
Suffix:
Gender:F
Credentials:MA, LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:687 CASTLE PINCKNEY DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-4404
Mailing Address - Country:US
Mailing Address - Phone:843-340-2224
Mailing Address - Fax:
Practice Address - Street 1:825 LOWCOUNTRY BLVD STE 205
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3065
Practice Address - Country:US
Practice Address - Phone:843-994-2838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10438101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional