IndividualActive
Amanda Edwards, LPC
NPI 1942759899 · Professional Counselor · Portage, MI
Provider details
- NPI number
- 1942759899
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- 2014044331 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
650 Trade Centre Way Ste 140
Portage, MI 49002-0411
Phone: (517) 882-3732
Approximate (ZIP-level) locationGet directions
Mailing address
650 Trade Centre Way Ste 140
Portage, MI 49002-0411
Additional practice locations (2)
- 1085 Maple StFarmington, MO 63640-1955Phone: (573) 756-5353
- 1800 Madison 257Fredericktown, MO 63645-8273Phone: (573) 783-4400Fax: (573) 783-4409
Registry dates
- Enumerated
- 2016-10-03
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.