Doctor Name: | MRS. AMANDA OVERCASH REEDINGER |
NPI Number: | 1013379908 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAPC |
License Number: | APC004922 |
Business Practice Address: | 327 Dahlonega St Suite 902b Cumming, GA - 300402480 |
Business Phone Number: | 6789838993 |
Business Fax Number: | |
Mailing Address: | 3950 Ridgefair Dr, CUMMING |
State: | GA |
Postal Code: | 300401534 |
Phone Number: | 6784518638 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2016 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | APC004922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |