Provider Demographics
NPI:1275153132
Name:WHITING, AMANDA WHITE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:WHITE
Last Name:WHITING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6820 OVERVIEW CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7684
Mailing Address - Country:US
Mailing Address - Phone:334-294-3317
Mailing Address - Fax:
Practice Address - Street 1:107 CALDWELL ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:AL
Practice Address - Zip Code:36037-2507
Practice Address - Country:US
Practice Address - Phone:334-294-3317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional