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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609162403 NPPES
South Carolina MEDICAID 322842

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