Provider Demographics
NPI:1689438301
Name:FISHER, AMANDA FRANCES (MA, LCMHC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:FRANCES
Last Name:FISHER
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:FRANCES
Other - Last Name:HEINRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:180 SORREL DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525-7052
Mailing Address - Country:US
Mailing Address - Phone:719-322-4467
Mailing Address - Fax:
Practice Address - Street 1:180 SORREL DR
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:NC
Practice Address - Zip Code:27525-7052
Practice Address - Country:US
Practice Address - Phone:719-322-4467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health