Flannery, Amanda Heather

Flannery, Amanda Heather is an sole proprietor health care provider with primary practice located at 452 W Market St , Xenia OH 45385-2815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Flannery, Amanda Heather can be contacted via phone (937) 376-8700.

Contact Information

Primary practice address
452 W Market St Xenia OH 45385-2815
Phone: (937) 376-8700
Fax: (937) 376-8725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1600051 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 140760 Ohio

Profile Details

NPI number 1619331824
LBN Legal business name Flannery, Amanda Heather
Credentials M.ED, LPC, LICDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2016
Last updated Sep 29th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619331824 NPPES
Ohio MEDICAID 0222303
Ohio MEDICAID 137

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