| Amanda Shelton, LMHC | |
|
1500 Salem St Ste 110, Lafayette, IN 47904-2170 | |
| (765) 423-5531 | |
| Not Available |
| Full Name | Amanda Shelton |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1500 Salem St Ste 110, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164653531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39004074A (Indiana) | Primary |
| Entity Name | Meridian Health Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Shelton, LMHC 240 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 288-1928 | Amanda Shelton, LMHC 1500 Salem St Ste 110, Lafayette, IN 47904-2170 Ph: (765) 423-5531 |
Amanda Campbell, LACA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4705 Meijer Ct, Lafayette, IN 47905 Phone: 765-701-6060 | |
Ms. Tessa Garrow, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 N 18th St, Lafayette, IN 47904 Phone: 765-423-5361 | |
Leslie Michelle Frere, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Ferry St, Lafayette, IN 47904 Phone: 765-446-9898 Fax: 765-446-9424 | |
Shannon Dale Polmateer, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 N 18th St, Suite 201, Lafayette, IN 47904 Phone: 765-423-5361 | |
Mrs. Mary Teresa Francisco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 N 18th St, Lafayette, IN 47904 Phone: 765-423-5361 Fax: 765-742-8272 | |
Laura Houze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Farabee Dr N, Lafayette, IN 47905 Phone: 765-447-1312 | |
Karan Hustedt-warren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Saw Mill Rd, Suite 3200, Lafayette, IN 47905 Phone: 765-742-4848 Fax: 765-477-9905 |