IndividualActive
Amanda Bourg, PHD
NPI 1386758068 · Counseling Psychologist · Tellico Plains, TN
Provider details
- NPI number
- 1386758068
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 3783 (TN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
171 Bank St # 221
Tellico Plains, TN 37385-4987
Phone: (443) 379-0447
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 221
Tellico Plains, TN 37385-0221
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2022-10-13
- Certified
- 2022-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.