Provider Demographics
NPI:1467991380
Name:MAYS, AMANDA S (MAMFT, LMFT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:S
Last Name:MAYS
Suffix:
Gender:F
Credentials:MAMFT, LMFT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:S
Other - Last Name:RIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1300 E BRADFORD PKWY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4264
Mailing Address - Country:US
Mailing Address - Phone:417-761-5000
Mailing Address - Fax:417-761-5011
Practice Address - Street 1:1949 E CHERRY ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-2952
Practice Address - Country:US
Practice Address - Phone:417-761-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019006637106H00000X
IL166.001086106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490067139Medicaid
MO13944716OtherCAQH