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Amanda Lynn Bridges

Counselor

Behavioral Health & Social Service Providers

7 E Kansas St Ste C, Liberty, MO 64068-2312

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Lynn Bridges 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 2 days ago.

Profile Details

Provider ID
1932666054
Provider Type
Individual
Full Name
Bridges, Amanda Lynn
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
2/25/2019
Last Updated
12/3/2024

Contact Information

Practice Location

7 E Kansas St Ste C, Liberty, MO 64068-2312

(816) 592-3848

Unlisted Fax

Mailing Location

PO Box 1094, Kearney, MO 64060-1094

(816) 872-4623

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 2020010639 Missouri
Code 101YP2500X	Description Counselor Behavioral Health & Social Service Providers	License 6401016992 Michigan
Code 101YP2500X	Description Counselor Behavioral Health & Social Service Providers	License 180.011694 Illinois

Amanda Lynn Bridges

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Rojas, Nicole

Coulter, Jami A

Watkins, Deena

Lehnardt, James Mcgarry

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Williams, Brooke

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Mehl Chadwick, Kathleen Ann