Provider Demographics
NPI:1245676931
Name:ZOLMAN, AMANDA (MA, LMHC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:ZOLMAN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 MONTGOMERY DR
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-8811
Mailing Address - Country:US
Mailing Address - Phone:317-207-6301
Mailing Address - Fax:317-708-4904
Practice Address - Street 1:3750 KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46221-2700
Practice Address - Country:US
Practice Address - Phone:317-207-6301
Practice Address - Fax:317-708-4904
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002505A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1932714185OtherNPI 2