Provider Demographics
NPI:1780486233
Name:AMANDA FEDUNOK CONSULTING LLC
Entity type:Organization
Organization Name:AMANDA FEDUNOK CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEDUNOK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-272-9313
Mailing Address - Street 1:7371 THOMAS BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2508
Mailing Address - Country:US
Mailing Address - Phone:724-272-9313
Mailing Address - Fax:
Practice Address - Street 1:7371 THOMAS BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2508
Practice Address - Country:US
Practice Address - Phone:724-272-9313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty