AMC MENTAL HEALTH, LLC (NPI# 1700346541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700346541 |
| Entity Type | Organization |
| Organization Name | AMC MENTAL HEALTH, LLC |
| Practice Address |
263 Vietnam Veterans Highway Mangilao GU 96913 |
| Mailing Address |
1244 N. Marine Corps Dr. Upper Tumon GU 96913 |
| Practice Telephone | 6716478262 |
| Practice Fax Number | 6716475252 |
| Mailing Telephone | 6716478262 |
| Mailing Fax Number | 6716475252 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | HOA VAN NGUYEN (PRESIDENT) |
| Authorized Official Telephone | 6716478262 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
263 VIETNAM VETERANS HIGHWAY |
| City | MANGILAO |
| State | GU |
| Zip Code | 96913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
| 1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
| 1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
| 1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
| 1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
| 1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
| 1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
| 1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
| 1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
| 1649735465 | Shinik Kang | Acupuncturist | 817 N Marine Corps Dr, 109, Tamuning, GU 96913 | 2019-02-06 |
| Find all providers in zip 96913 | ||||
| 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 |
|---|---|---|---|---|
| 1639587520 | Dolores M Taijeron | Counselor | Uog Station, University of Guam, Mangilao, GU 96923 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598238891 | Steven Butler | Counselor | 144 Aspinal Ave., Afia Bld. Suite 202, Hagatna, GU 96910 | 2019-01-09 |
| 1871984997 | Ovita Perez | Counselor | 790 Governor Carlos Camacho Street, Tamuning, GU 96913 | 2015-02-11 |
| 1033365614 | Risha Aguon | Counselor | 178 Francisco Javier Ave Unit C-12, Agana Heights, GU 96910-6439 | 2008-08-14 |
| 1972719987 | Dawn Lynette Copp | Counselor | 414 W Soledad, Gcic Suite 500e, Hagatna, GU 96932 | 2007-05-15 |
| 1275995003 | Rusell Pangelinan | Counselor | 809 Chalan Pasaheru Unit 2, Tamuning, GU 96913-4132 | 2016-03-22 |
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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.