Provider Demographics
NPI:1467880948
Name:CILUFFO, AMANDA MICHELLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:MICHELLE
Last Name:CILUFFO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 E TUTTLE RD
Mailing Address - Street 2:LOT 141
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-8614
Mailing Address - Country:US
Mailing Address - Phone:616-788-1587
Mailing Address - Fax:
Practice Address - Street 1:360 E TUTTLE RD
Practice Address - Street 2:LOT 141
Practice Address - City:IONIA
Practice Address - State:MI
Practice Address - Zip Code:48846-8614
Practice Address - Country:US
Practice Address - Phone:616-788-1587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-21
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008390101YA0400X, 101YM0800X, 101YP2500X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool