Enlow, Amanda Caroline Young
Enlow, Amanda Caroline Young is an individual health care provider with primary practice located at 115 Stone Village Dr Ste E , Fort Mill SC 29708-6489. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Enlow, Amanda Caroline Young can be contacted via phone (803) 216-1604.Contact Information
Primary practice address
115 Stone Village Dr Ste E
Fort Mill SC 29708-6489
Phone: (803) 216-1604
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5516 | South Carolina |
Profile Details
NPI number | 1609162403 |
---|---|
LBN Legal business name | Enlow, Amanda Caroline Young |
Credentials | MRC, LPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2011 |
Last updated | Apr 28th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609162403 | NPPES |
South Carolina | MEDICAID | 322842 |
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