Provider Demographics
NPI:1770719130
Name:PARROTT, S. AMANDA T (LISW-CP)
Entity type:Individual
Prefix:MRS
First Name:S. AMANDA
Middle Name:T
Last Name:PARROTT
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 SAINT ANDREWS BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7196
Mailing Address - Country:US
Mailing Address - Phone:843-225-2007
Mailing Address - Fax:843-225-2007
Practice Address - Street 1:711 SAINT ANDREWS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7196
Practice Address - Country:US
Practice Address - Phone:843-225-2007
Practice Address - Fax:843-225-2007
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC71471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical