Amanda Leigh Mccarthy
Mental Health
5842 Hobe Ln
White Bear Lake
, Minnesota 55110-6477
Amanda Leigh Mccarthy
Mental Health
5842 Hobe Ln
White Bear Lake
, Minnesota 55110-6477
(612) 802-2415
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Amanda Leigh Mccarthy
- 2563 Sumac Cir
- White Bear Lake, MN
- Zip : 55110-5622
- Phone : (612) 802-2415
Second Address
- Amanda Leigh Mccarthy
- 5842 Hobe Ln
- White Bear Lake, MN
- Zip : 55110-6477
- Phone : (651) 383-1197
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | 104602 | MN |
National Provider Identifier
| NPI | 1689171522 |
|---|---|
| Provider Name | Amanda Leigh Mccarthy |
| First Address | White Bear Lake, MN 55110-5622 |
| Second Address | White Bear Lake, MN 55110-6477 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2018 |
| Last Update Date | 16/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1609320605 | (05) | MN |
| 1609320605 | EVOLVE WELL OCCUPATIONAL THERAPY (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.