Provider Demographics
NPI:1760063176
Name:HILL, AMANDA SHIRI (LPC, NCC, MS)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:SHIRI
Last Name:HILL
Suffix:
Gender:F
Credentials:LPC, NCC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6734 LEE ROAD 401
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:AL
Mailing Address - Zip Code:36874-2895
Mailing Address - Country:US
Mailing Address - Phone:334-520-6308
Mailing Address - Fax:
Practice Address - Street 1:6734 LEE ROAD 401
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:AL
Practice Address - Zip Code:36874-2895
Practice Address - Country:US
Practice Address - Phone:334-520-6308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012071101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional