Provider Demographics
NPI:1932919917
Name:SPAULDING, AMANDA MARIE (MHC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MARIE
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 BAY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-3004
Mailing Address - Country:US
Mailing Address - Phone:518-521-4844
Mailing Address - Fax:
Practice Address - Street 1:375 BAY RD STE 100
Practice Address - Street 2:SUITE 100
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-3004
Practice Address - Country:US
Practice Address - Phone:518-521-4844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP124644101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health