Ellis, Amanda

Ellis, Amanda is an sole proprietor health care provider with primary practice located at 7400 Metro Blvd Ste 335 , Edina MN 55439-2356. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, Amanda can be contacted via phone (651) 217-8600.

Contact Information

Primary practice address
7400 Metro Blvd Ste 335 Edina MN 55439-2356
Phone: (651) 217-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25258 Minnesota

Profile Details

NPI number 1245680925
LBN Legal business name Ellis, Amanda
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2016
Last updated Jun 19th, 2026 - about 4 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245680925 NPPES
Minnesota Other H300322582 NGS MEDICARE

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