Organization Name: | AMANDA CARTER-BOOMSMA |
NPI Number: | 1992167951 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA CARTER-BOOMSMA (MENTAL HEALTH COUNSELOR) |
Mailing Address: | 100 S Maple Ste 204 Watertown |
State: | SD US |
Postal Code: | 572013772 |
Phone Number: | 6054505490 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2016 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPCMH2229 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |