Hart, Amanda Renee

Hart, Amanda Renee is an individual health care provider with primary practice located at 1105 15Th Ave Ste F , Longview WA 98632-3080. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hart, Amanda Renee can be contacted via phone (360) 703-6499.

Contact Information

Primary practice address
1105 15Th Ave Ste F Longview WA 98632-3080
Phone: (360) 703-6499
Fax: (360) 838-9902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00023855 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CL61519127 Washington

Profile Details

NPI number 1164699013
LBN Legal business name Hart, Amanda Renee
Credentials CC, LMT
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2008
Last updated May 9th, 2024 - about 2 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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