Provider Demographics
NPI:1457979817
Name:PARISH, AMANDA MELISSA (LMHC-D)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MELISSA
Last Name:PARISH
Suffix:
Gender:F
Credentials:LMHC-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 RT 211 EAST STE 24
Mailing Address - Street 2:#1111
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940
Mailing Address - Country:US
Mailing Address - Phone:845-286-9991
Mailing Address - Fax:845-285-6708
Practice Address - Street 1:470 RT 211 EAST
Practice Address - Street 2:#1111 STE 24
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940
Practice Address - Country:US
Practice Address - Phone:845-286-9991
Practice Address - Fax:845-285-6708
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-10
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYD012461101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor