Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Dawn Clark

Individual provider Mental Health Counselor · NPI 1518838846

Amanda Dawn Clark is a Mental Health Counselor in Lynchburg, Virginia. Qualified in 2022, 4 years ago. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2025

Practice location Address checks out

1621 Enterprise Dr
Lynchburg, VA 24502-5797
Phone: (434) 376-2006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701015379 (VA)

Record details

NPI number1518838846
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 17, 2025
Mailing address1621 Enterprise Dr, Lynchburg, VA 24502-5797

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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