Provider Demographics
NPI:1942966130
Name:MCFEE, AMANDA J (MS, LPCA)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:J
Last Name:MCFEE
Suffix:
Gender:F
Credentials:MS, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11291 PEE DEE RD S
Mailing Address - Street 2:
Mailing Address - City:GALIVANTS FERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29544-8939
Mailing Address - Country:US
Mailing Address - Phone:843-283-2486
Mailing Address - Fax:
Practice Address - Street 1:602 MAIN ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-4340
Practice Address - Country:US
Practice Address - Phone:843-488-2219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-11
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health