Most Relevant Information
Provider Data
| NPI Number: | 1003405200 |
| Provider Name: | AMANDA BYNUM LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | AMFT000667 |
Most Important Dates
| Enumeration Date: | 01/12/2021 |
| Last Updated: | 08/31/2021 |
Provider Practice Location
50 VIRGINIA AVE
SHARPSBURG
GA
302776947
Practice Location Phone/Fax
| Phone: | 7063837275 |
| Fax: |
Provider Mailing Location
50 VIRGINIA AVE
SHARPSBURG
GA
302776947
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |