Provider Demographics
NPI:1699383851
Name:MCKEE, AMANDA E
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:E
Last Name:MCKEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5515 RIDGETOP DR
Mailing Address - Street 2:
Mailing Address - City:HORN LAKE
Mailing Address - State:MS
Mailing Address - Zip Code:38637-3773
Mailing Address - Country:US
Mailing Address - Phone:901-257-8833
Mailing Address - Fax:
Practice Address - Street 1:3720 ALUMNI AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-5914
Practice Address - Country:US
Practice Address - Phone:901-678-2169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker