Amanda Nicely

NPI #1104209204 in Middleboro, Massachusetts

Provider Information

NPI Number: 1104209204
Entity Type: Organization
Organization Name: Amanda Nicely
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 7, 2015
Last Updated: Jul 10, 2015

Practice Location

Address: 205 W GROVE ST
Address 2: SUITE E
City: Middleboro
State: Massachusetts
ZIP Code: 02346-1462
Phone: (508) 923-1900

Authorized Official

Name: AMANDA NICELY MACHADO, LMHC
Title: CEO/PRESIDENT
Phone: (508) 923-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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