Provider Demographics
NPI:1871949396
Name:ZANNETTI, AMANDA JEANNINE (LMHC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JEANNINE
Last Name:ZANNETTI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 WILLIMANSETT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-3062
Mailing Address - Country:US
Mailing Address - Phone:774-762-9414
Mailing Address - Fax:
Practice Address - Street 1:130 COLLEGE ST STE 214
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-1493
Practice Address - Country:US
Practice Address - Phone:774-762-9414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10000693101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health