Provider Demographics
NPI:1538441266
Name:MEYER, AMANDA MICHELLE (LMHC)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:MICHELLE
Last Name:MEYER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19780H PECK AVE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-2881
Mailing Address - Country:US
Mailing Address - Phone:718-938-5343
Mailing Address - Fax:
Practice Address - Street 1:19780H PECK AVE
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-2881
Practice Address - Country:US
Practice Address - Phone:914-222-3650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)