Amanda L Tuohy | Valparaiso, IN • PECOS Search

Amanda L Tuohy

Counselor

Behavioral Health & Social Service Providers

2305 Roosevelt Rd, Valparaiso, IN 46383-2772

(219) 644-5802 (219) 306-2888

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda L Tuohy does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1619491628
Provider Type
Individual
Full Name
Tuohy, Amanda L
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/1/2017
Last Updated
8/21/2023

Contact Information

Practice Location

2305 Roosevelt Rd, Valparaiso, IN 46383-2772

Unlisted Fax

Mailing Location

2305 Roosevelt Rd, Valparaiso, IN 46383-2772

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 39003033A Indiana