Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS AMANDA MEGAN YOUNG NIBBER, LPCC
ActiveMISS AMANDA MEGAN YOUNG NIBBER, LPCC is a Mental Health Counselor healthcare provider located in BOLIVAR, Tennessee. NPI 1508142977 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BOLIVAR, TN
Registration Details
- NPI Number
- 1508142977
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2011 (14.754054120575 yrs)
- Last Updated
- Nov 8, 2024
- Licenses
-
T-0144351 (NM)CCMH0217321 (NM)LPC7580 (TN)
Practice Information
- Address
-
10710 OLD HIGHWAY 64BOLIVAR, TN, 380083587Browse TN providers · Browse ZIP 38008
- Phone
- 7316586113
- Fax
- 7316581597
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in BOLIVAR, TN
| Name | Credential | NPI |
|---|---|---|
| MR. BRODERICK WEBSTER SR. | LPC | 1124897996 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.