Provider Demographics
NPI:1891816385
Name:CARVER, AMANDA NELL (LMFT)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:NELL
Last Name:CARVER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:NELL
Other - Last Name:BOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:2751 BUFORD HIGHWAY, SUITE 700
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5107
Mailing Address - Country:US
Mailing Address - Phone:404-960-7484
Mailing Address - Fax:
Practice Address - Street 1:2751 BUFORD HIGHWAY, SUITE 700
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-5107
Practice Address - Country:US
Practice Address - Phone:404-960-7484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
GAMFT001216106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist