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

Amanda Tadlock, EDS, MA

Individual provider Mental Health Counselor · NPI 1659701829

Amanda Tadlock, EDS, MA is a Mental Health Counselor in Gaston, South Carolina. Qualified in 2009, 17 years ago. Practices with South Carolina Dept of Mental Health Accounting Office, a 231-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2013
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3965 Fish Hatchery Rd
Gaston, SC 29053-9038
Phone: (803) 755-2261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701005494 (VA)

Record details

NPI number1659701829
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDS , MA
Sole proprietorNo
NPI enumeratedNovember 25, 2013
Last updated in NPPESNovember 25, 2013

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice South Carolina Dept Of Mental Health Accounting Office — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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