Doctor Name: | AMANDA ROCHELLE SEALEY |
NPI Number: | 1083965362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHP, CPC |
License Number: | 4352 |
Business Practice Address: | 601 Norris Ave Ambience Counseling Center, Llc Mc Cook, NE - 690013140 |
Business Phone Number: | 3083454067 |
Business Fax Number: | |
Mailing Address: | 72500 Highway 283, ARAPAHOE |
State: | NE |
Postal Code: | 689222746 |
Phone Number: | 3083255075 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2012 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4352 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |