Provider Demographics
NPI:1356220370
Name:AIRD, AMANDA ELAYNE (MA)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:ELAYNE
Last Name:AIRD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-5325
Mailing Address - Country:US
Mailing Address - Phone:812-344-6363
Mailing Address - Fax:
Practice Address - Street 1:1888 POSHARD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-1897
Practice Address - Country:US
Practice Address - Phone:812-389-4585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health