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

Amanda Domangue Bourg, PHD

Individual provider Counseling Psychologist · NPI 1386758068

Amanda Domangue Bourg, PHD is a Counseling Psychologist in Tellico Plains, Tennessee. Licensed in Louisiana and Tennessee. Registered with an NPI since 2006.

Licensed in
LA, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

171 Bank St # 221
Tellico Plains, TN 37385-4987
Phone: (443) 379-0447
Show map & directions

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

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 3783 (TN)
Counseling Psychologist Taxonomy 103TC1900X · Licence 915 (LA)

Record details

NPI number1386758068
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022