AMY VITACOLONNA BS NPI 1497116875

NPI Information

NPI: 1497116875
Provider Name: AMY VITACOLONNA, BS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
144 TIMBERLAKE DR
FLORENCE, SC
ZIP 29501
Phone: (360) 349-8775
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Amy Vitacolonna, BS is a mental health counselor in Florence, SC. Amy Vitacolonna, BS NPI is 1497116875. 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:

144 TIMBERLAKE DR
FLORENCE, SC
ZIP 29501-309
Phone: (360) 349-8775
Fax: (843) 897-0100

The enumeration date for this NPI number is 3/14/2016 and was last updated on 1/26/2024.

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	101YM0800X	Counselor	Mental Health		WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	LH60943631	WASHINGTON	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	85-2743925	OTHER	WASHINGTON	IRS
2	8246	OTHER	SOUTH CAROLINA	SOUTH CAROLINA LICENSING BOARD FOR COUNSELORS
3	LH60943631	OTHER	WASHINGTON	WASHINGTON STATE DEPARTMENT OF HEALTH

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: 5/5/2024

NPI Synchronization or Removal

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