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AMANDA WALLER LPC
NPI 1710590146
Counselor - Professional in Eatontown, NJ

Active since August 25, 2020
154 WAYPOINT DR, EATONTOWN, NJ 07724(908) 310-7788 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2022, Aug 25, 2020 (2 updates tracked since 2020).

About Amanda Waller Lpc NPPES

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

AMANDA WALLER LPC (NPI 1710590146) is an individual professional provider in Eatontown, New Jersey, licensed in New Jersey (37PC00637200) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1710590146
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA WALLERCredential: LPC
Location Address154 WAYPOINT DREatontown, NJ 07724-2184
Mailing Address409 South Street Po Box 1111Eatontown, NJ 07724-4111 · (908) 310-7788
Phone(908) 310-7788
Sole ProprietorYes
Enumeration DateAugust 25, 2020
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1710590146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00637200
154 WAYPOINT DR, Eatontown, NJ 07724
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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 Waller's NPI number?

The NPI number for Amanda Waller is 1710590146. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Where is Amanda Waller located?

Amanda Waller practices at 154 Waypoint Dr, Eatontown, NJ 07724. The listed phone number is (908) 310-7788.

What is Amanda Waller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Amanda Waller was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.