Provider Demographics
NPI:1750026068
Name:SCHWYN, AMANDA (LMHCA, NCC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SCHWYN
Suffix:
Gender:F
Credentials:LMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KNIGHTSTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46148-1258
Mailing Address - Country:US
Mailing Address - Phone:317-395-8322
Mailing Address - Fax:
Practice Address - Street 1:124 W MAIN ST
Practice Address - Street 2:
Practice Address - City:KNIGHTSTOWN
Practice Address - State:IN
Practice Address - Zip Code:46148-1258
Practice Address - Country:US
Practice Address - Phone:317-395-8322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001613A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health