Provider Demographics
NPI:1164138095
Name:MCGUIRE, AMANDA MESI (MA CMHC)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:MESI
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MA CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 CENTRAL ST APT 1
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3434
Mailing Address - Country:US
Mailing Address - Phone:608-556-2430
Mailing Address - Fax:
Practice Address - Street 1:202 MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3170
Practice Address - Country:US
Practice Address - Phone:603-717-6488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health