AMANDA GRACE MCKNELLY CCDCIII NPI 1427301191

NPI Information

NPI: 1427301191
Provider Name: AMANDA GRACE MCKNELLY, CCDCIII
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2412 S CLIFF AVE
STE 100
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-4079
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Amanda Grace Mcknelly, CCDCIII is an addiction (substance use disorder) counselor in Sioux Falls, SD. Amanda Grace Mcknelly, CCDCIII NPI is 1427301191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2412 S CLIFF AVE
STE 100
SIOUX FALLS, SD
ZIP 57105-031
Phone: (605) 322-4079
Fax: (605) 322-4080

The enumeration date for this NPI number is 10/18/2012 and was last updated on 10/18/2012.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	11091490	SOUTH DAKOTA	Yes

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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