Provider Demographics
NPI:1437296480
Name:BELL, AMANDA DAWM (MED, LPC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:DAWM
Last Name:BELL
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HAMMEL CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-6501
Mailing Address - Country:US
Mailing Address - Phone:864-608-3244
Mailing Address - Fax:864-688-2766
Practice Address - Street 1:110B HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-3226
Practice Address - Country:US
Practice Address - Phone:864-608-3244
Practice Address - Fax:864-688-2766
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5166101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health