Provider Demographics
NPI:1902991003
Name:METCALFE, AMANDA (LPC)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:METCALFE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:METCALFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:313 N TEJON ST STE 19
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1251
Mailing Address - Country:US
Mailing Address - Phone:719-650-5675
Mailing Address - Fax:
Practice Address - Street 1:313 N TEJON ST STE 19
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1251
Practice Address - Country:US
Practice Address - Phone:719-650-5675
Practice Address - Fax:719-572-6399
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4171101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional