Provider Demographics
NPI:1447649652
Name:ALIFF, AMANDA (MS, LPC, NCC, CCTP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:ALIFF
Suffix:
Gender:F
Credentials:MS, LPC, NCC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 MILKY WAY
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-8241
Mailing Address - Country:US
Mailing Address - Phone:301-706-6889
Mailing Address - Fax:174-960-3467
Practice Address - Street 1:130 S PENN ST STE 201
Practice Address - Street 2:
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257-1916
Practice Address - Country:US
Practice Address - Phone:717-477-2556
Practice Address - Fax:717-496-0346
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAPC006613101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health