Provider Demographics
NPI:1467780452
Name:FRANKE, AMANDA HART (LMFT, CDP)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:HART
Last Name:FRANKE
Suffix:
Gender:F
Credentials:LMFT, CDP
Other - Prefix:MISS
Other - First Name:AMANDA
Other - Middle Name:CATHERINE
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT, CDP
Mailing Address - Street 1:6160 NE 185TH ST
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-8910
Mailing Address - Country:US
Mailing Address - Phone:773-456-7204
Mailing Address - Fax:
Practice Address - Street 1:6160 NE 185TH ST
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-8910
Practice Address - Country:US
Practice Address - Phone:773-456-7204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60292056106H00000X
WACP60234166101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1467780452Medicaid