DR. AMANI AMANDA MUNGO LPC NPI 1932374584

NPI Information

NPI: 1932374584
Provider Name: DR. AMANI AMANDA MUNGO, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1830 WATER PL SE STE 215
ATLANTA, GA
ZIP 30339
Phone: (470) 326-6469
Get Directions

DR. Amani Amanda Mungo, LPC is a professional counselor in Atlanta, GA. DR. Amani Amanda Mungo, LPC NPI is 1932374584. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1830 WATER PL SE STE 215
ATLANTA, GA
ZIP 30339-407
Phone: (470) 326-6469
Fax: (678) 853-2466

The enumeration date for this NPI number is 4/24/2008 and was last updated on 2/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	004810	GEORGIA	No
2	101YP2500X	Counselor	Professional	LPC004810	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004810	OTHER	GEORGIA	GEORGIA LICENSURE BOARD
2	LPC004810	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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