Most Relevant Information
Provider Data
| NPI Number: | 1003641515 |
| Provider Name: | AMANDA F LEVY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/04/2024 |
| Last Updated: | 09/04/2024 |
Provider Practice Location
308 QUINCY ST
RAPID CITY
SD
577012813
Practice Location Phone/Fax
| Phone: | 6053914863 |
| Fax: |
Provider Mailing Location
350 ELK ST
RAPID CITY
SD
577017351
Provider Mailing Phone/Fax
| Phone: | 6053437262 |
| Fax: |