AMANDA CONDIC (NPI# 1336657949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336657949 |
| Entity Type | Individual |
| Full Name | AMANDA CONDIC |
| Practice Address |
1370 N Oakland Blvd Ste 105 Waterford MI 48327-1572 |
| Practice Telephone | 2486668870 |
| Practice Fax Number | 2486665023 |
| Mailing Telephone | 2486668870 |
| Mailing Fax Number | 2486665023 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401016923 | MI | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1370 N OAKLAND BLVD STE 105 |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104286046 | Kathryn Joanne Brown | Counselor | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2016-03-04 |
| 1740814110 | Varsha George | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2020-02-25 |
| 1538724513 | Daniel Thomas Colfer | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2019-05-06 |
| 1275018319 | Mirissa Lynne Gagnier | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2018-09-25 |
| 1619498235 | Jason Poblacion | Counselor | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1750895736 | Cindy Lynn Mcgraw | Counselor | 3455 Whitfield Dr, Waterford, MI 48329-1159 | 2017-11-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1588055057 | Goods Counseling Services LLC | Counselor | 412 High St., Waterford, PA 16441 | 2015-02-05 |
| 1235527334 | Nadia Dakoske | Counselor | 7178 Magnolia Ln, Waterford, MI 48327-4421 | 2014-12-26 |
| 1083963375 | Jeanette Elaine Owens | Counselor | 3525 Elizabeth Lake Rd, Waterford, MI 48328-3087 | 2012-09-03 |
| 1164660858 | Wendy Shawn Cook | Counselor | 2891 Reflection Ave, Waterford, MI 48328-2675 | 2009-02-03 |
| 1588706972 | Timothy J Teague | Counselor | 16159 Hamilton Station Rd, Waterford, VA 20197-1106 | 2007-02-13 |
| 1043395684 | John M Gonzalez | Counselor | 567 Vauxhall Street Ext. Suite 207, Waterford, CT 06385 | 2006-10-25 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.