Provider Demographics
NPI:1851689145
Name:BILMANIS, AMY K
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:K
Last Name:BILMANIS
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 1:2125 SOUTHEND DR
Mailing Address - Street 2:#430
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5301
Mailing Address - Country:US
Mailing Address - Phone:301-848-5039
Mailing Address - Fax:
Practice Address - Street 1:8029 CORPORATE CENTER DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4547
Practice Address - Country:US
Practice Address - Phone:704-543-7574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor