| Doctor Name: | AMANDA TRUEWORTHY |
| NPI Number: | 1326384082 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 12080129 |
| Business Practice Address: | 211 N Marlboro St Bennettsville, SC - 295123133 |
| Business Phone Number: | 8434795683 |
| Business Fax Number: | 8434795685 |
| Mailing Address: | 211 N Marlboro St, BENNETTSVILLE |
| State: | SC |
| Postal Code: | 295123133 |
| Phone Number: | 8434795683 |
| Fax Number: | 8434795685 |
| NPI Enumeration Date: | 12/27/2012 |
| NPI Last Update Date: | 12/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 12080129 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |