Provider Demographics
NPI:1568274827
Name:HARRELL, AMANDA FRANCES (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:FRANCES
Last Name:HARRELL
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 OXBOW LNDG
Mailing Address - Street 2:
Mailing Address - City:BURGAW
Mailing Address - State:NC
Mailing Address - Zip Code:28425-8269
Mailing Address - Country:US
Mailing Address - Phone:910-470-0681
Mailing Address - Fax:
Practice Address - Street 1:4018 OLEANDER DR STE 201
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6812
Practice Address - Country:US
Practice Address - Phone:910-470-0681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17375101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health