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AMANDA EVETTE VITAL BGS, M.A.T., ED.S.
NPI 1275039588
Counselor - Mental Health in Lake Charles, LA

Active since April 04, 2018
1409 KIRKMAN ST, LAKE CHARLES, LA 70601(337) 419-3586(855) 239-9737 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Evette Vital Bgs, M.a.t., Ed.s. NPPES

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

AMANDA EVETTE VITAL BGS, M.A.T., ED.S. (NPI 1275039588) is an individual mental health provider in Lake Charles, Louisiana and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1275039588
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA EVETTE VITALCredential: BGS, M.A.T., ED.S.
Location Address1409 KIRKMAN STLake Charles, LA 70601-5344
Mailing Address1409 Kirkman StLake Charles, LA 70601-5344 · (337) 419-3586 · Fax (855) 239-9737
Phone(337) 419-3586
Fax(855) 239-9737
Sole ProprietorYes
Enumeration DateApril 4, 2018
✔ NPI 1275039588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1409 KIRKMAN ST, Lake Charles, LA 70601
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Other Names 1

Former Name (1)Amanda Evette Wilson Bgs, M.a.t.,ed.s.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

CASEY SHUNTEL OWENS
Counselor (Mental Health)
1409 KIRKMAN ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 419-3586
LATRESSA GREGOIRE BA
Counselor (Mental Health)
1409 KIRKMAN ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 419-3586
BEYOND WORDS, INC.
Psychologist (Prescribing (Medical))
1409 KIRKMAN ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 419-3586
MR. CHASE WALLING M.A., LPC
Counselor (Professional)
1409 KIRKMAN ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 419-3586
FREDRICK DOUGLAS ABRAHAM II
Counselor (Mental Health)
1409 KIRKMAN ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 419-3586
KEVIN THOMAS MS
Counselor (Mental Health)
1409 KIRKMAN ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 419-3586
DR. DAMIKA RENEE' HARMON DNP, APRN, NP-C
Nurse Practitioner (Adult Health)
1409 KIRKMAN ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 502-8070
REGINA E MURPHY BSW
Counselor (Mental Health)
1409 KIRKMAN ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 419-3586

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Vital's NPI number?

The NPI number for Amanda Vital is 1275039588. It was assigned to this individual provider in the NPPES registry on April 4, 2018. The provider is also known as Amanda Evette Wilson Bgs, M.A.T.,ed.S..

Where is Amanda Vital located?

Amanda Vital practices at 1409 Kirkman St, Lake Charles, LA 70601. The listed phone number is (337) 419-3586.

What is Amanda Vital's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Amanda Vital was last updated on April 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.