AMANDA VANTASSEL M.A., LCMHC
NPI 1093948630
Counselor - Mental Health in Portland, ME
Active since August 31, 2009
About Amanda Vantassel M.a., Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA VANTASSEL M.A., LCMHC (NPI 1093948630) is an individual mental health provider in Portland, Maine, licensed in New Hampshire (680) and active in the NPI registry since August 2009. She maintains a secondary practice location in Lebanon.
NPPES Registry Identity
NPI1093948630
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA VANTASSELCredential: M.A., LCMHC
Location Address575 FOREST AVEPortland, ME 04101-1513
Mailing Address575 Forest AvePortland, ME 04101-1513 · (207) 772-1187 · Fax (207) 772-0974
Phone(207) 772-1187
Fax(207) 772-0974
Sole ProprietorNo
Enumeration DateAugust 31, 2009
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1093948630 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NH · 680
575 FOREST AVE, Portland, ME 04101
Secondary Practice Location 1
Location 19 Hanover St, Suite 2Lebanon, NH 03766-1312 · Phone (603) 448-0126 · Fax (603) 448-6001
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093948630, enumerated as an "individual" on August 31, 2009.
The provider is located at 575 FOREST AVE PORTLAND, ME 04101 and the phone number is (207) 772-1187.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
