Provider Demographics
NPI:1831952381
Name:AMANDA K HRUBY-WATERS
Entity type:Organization
Organization Name:AMANDA K HRUBY-WATERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HRUBY-WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-701-3992
Mailing Address - Street 1:296 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01835-7301
Mailing Address - Country:US
Mailing Address - Phone:978-701-3992
Mailing Address - Fax:
Practice Address - Street 1:296 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01835-7301
Practice Address - Country:US
Practice Address - Phone:978-701-3992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health