Provider Demographics
NPI:1821885880
Name:HANDEL, AMY E
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:HANDEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 BRISBANE DR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN INN
Mailing Address - State:SC
Mailing Address - Zip Code:29644-1768
Mailing Address - Country:US
Mailing Address - Phone:803-240-3577
Mailing Address - Fax:
Practice Address - Street 1:37 BRISBANE DR
Practice Address - Street 2:
Practice Address - City:FOUNTAIN INN
Practice Address - State:SC
Practice Address - Zip Code:29644-1768
Practice Address - Country:US
Practice Address - Phone:803-240-3577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician