National Provider Identifier
Shiloh Amanda Wormley, LMHC
Shiloh Amanda Wormley, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Phelps, NY and a listed phone number of (315) 521-4505.
Profile Overview
- NPI
- 1316638513
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- May 17, 2023
- Last Updated
- May 17, 2023
Practice Location
- 1932 Fort Hill RD
- Phelps, NY 14532-9768
Phone: (315) 521-4505
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1316638513
- Entity Type
- Individual
- Last Name
- Wormley
- First Name
- Shiloh
- Middle Name
- Amanda
- Credential
- LMHC
- Provider Other Last Name
- Owens
- Provider Other First Name
- Shiloh
- Provider Other Middle Name
- Amanda
- Provider Other Credential Text
- LMHC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1932 Fort Hill RD
- Mailing City
- Phelps
- Mailing State
- NY
- Mailing ZIP Code
- 14532-9768
- Mailing Country
- US
- Mailing Phone
- (315) 521-4505
- Practice Street Address
- 1932 Fort Hill RD
- Practice City
- Phelps
- Practice State
- NY
- Practice ZIP Code
- 14532-9768
- Practice Country
- US
- Practice Phone
- (315) 521-4505
- Enumeration Date
- May 17, 2023
- Last Updated
- May 17, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 17, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)