Individual ProviderAmanda C CornettCounselorBehavioral Health & Social Service ProvidersPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138(219) 477-5646PECOS EnrollmentBased on the most recent information from CMS, provider Amanda C Cornett does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1174213979Provider TypeIndividualFull NameCornett, Amanda CCredentialLMHCAGenderFemaleSole ProprietorNoEnumeration Date5/15/2023Last Updated10/24/2024Contact InformationPractice LocationPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138Phone(219) 477-5646Fax(219) 728-4765Mailing LocationMailing Address2004 Valparaiso St, Valparaiso, IN 46383-3138Phone(219) 477-5646Fax(219) 728-4765Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense88002050AIndiana