Provider Demographics
NPI:1215452388
Name:ENGER, AMANDA LEIGH (LCPC)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LEIGH
Last Name:ENGER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:LEIGH
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:338 MEMORIAL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-6262
Mailing Address - Country:US
Mailing Address - Phone:815-516-8242
Mailing Address - Fax:
Practice Address - Street 1:338 MEMORIAL DR STE 100
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-6262
Practice Address - Country:US
Practice Address - Phone:815-516-8242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-09
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.010593101YP2500X
IL180010593101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional