SearchIndiana101YM0800X

Amanda Matthews-Hargrave, LMHC, LCAC

NPI 1174654644 · on the registry since 2007 · sole proprietor

Practice

Address
1 W Jackson St
Sullivan, IN 47882
Phone
(812) 905-0182
Fax
(812) 268-6767

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana