AMANDA MICHELLE GORRELL
NPI 1205517000
Peer Specialist in Bogalusa, LA

Active since July 26, 2023
400 GEORGIA AVE, BOGALUSA, LA 70427(985) 732-6610 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amanda Michelle Gorrell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MICHELLE GORRELL (NPI 1205517000) is an individual peer specialist in Bogalusa, Louisiana and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1205517000
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA MICHELLE GORRELL
Location Address400 GEORGIA AVEBogalusa, LA 70427-3866
Mailing Address400 Georgia AveBogalusa, LA 70427-3866 · (985) 732-6610
Sole ProprietorYes
Enumeration DateJuly 26, 2023
NPPES CertifiedJuly 26, 2023
NPI 1205517000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

400 GEORGIA AVE, Bogalusa, LA 70427

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
400 GEORGIA AVE, SUITE 16
BOGALUSA, LA 70427
Pharmacist
400 GEORGIA AVE
BOGALUSA, LA 70427
Counselor (Professional)
400 GEORGIA AVE
BOGALUSA, LA 70427
Psychologist (Prescribing (Medical))
400 GEORGIA AVE
BOGALUSA, LA 70427
Social Worker
400 GEORGIA AVE
BOGALUSA, LA 70427

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205517000, enumerated as an "individual" on July 26, 2023.

The provider is located at 400 GEORGIA AVE BOGALUSA, LA 70427 and the phone number is (985) 732-6610.

Peer Specialist with taxonomy code 175T00000X.