Adhami, Amanda
Adhami, Amanda is an individual health care provider with primary practice located at 645 N Walnut St , Bloomington IN 47404-3846. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Adhami, Amanda can be contacted via phone (812) 336-3570.Contact Information
Primary practice address
645 N Walnut St
Bloomington IN 47404-3846
Phone: (812) 336-3570
Fax: (812) 336-9010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 33008127A | Indiana |
Profile Details
| NPI number | 1669931341 |
|---|---|
| LBN Legal business name | Adhami, Amanda |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2019 |
| Last updated | Feb 24th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669931341 | NPPES |
| Indiana | Other | 33008218A | COMMERCIAL |
| Indiana | MEDICAID | 33008218A | COMMERCIAL |
| Indiana | MEDICAID | 34009199A | COMMERCIAL |
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