Provider Demographics
NPI:1457898207
Name:EMANUEL, AMY MELINDA (MA, LPCA)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MELINDA
Last Name:EMANUEL
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Gender:F
Credentials:MA, LPCA
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:131 PILL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28383-7837
Mailing Address - Country:US
Mailing Address - Phone:910-374-5524
Mailing Address - Fax:910-628-6181
Practice Address - Street 1:86 THREE HUNTS DRIVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372
Practice Address - Country:US
Practice Address - Phone:910-522-0508
Practice Address - Fax:910-522-0465
Is Sole Proprietor?:No
Enumeration Date:2017-01-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health