Provider Demographics
NPI:1689024341
Name:TOUMEH, AMANDA RAE (LMSW, LMAC)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:RAE
Last Name:TOUMEH
Suffix:
Gender:F
Credentials:LMSW, LMAC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:RAE
Other - Last Name:DENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, LMAC
Mailing Address - Street 1:3311 EAGLE ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-8904
Mailing Address - Country:US
Mailing Address - Phone:316-393-2188
Mailing Address - Fax:
Practice Address - Street 1:3311 EAGLE ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-8904
Practice Address - Country:US
Practice Address - Phone:316-393-2188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10018104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker