Reagan, Amanda Rayburn

Reagan, Amanda Rayburn is an sole proprietor health care provider with primary practice located at 8170 Jerry Dr , Powell OH 43065-6222. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Reagan, Amanda Rayburn can be contacted via phone (713) 876-7990.

Contact Information

Primary practice address
8170 Jerry Dr Powell OH 43065-6222
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 51487 Texas

Profile Details

NPI number 1427340249
LBN Legal business name Reagan, Amanda Rayburn
Credentials LCSW-S, LISW-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2011
Last updated Sep 13th, 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 1427340249 NPPES
Texas Other 282721401 TPI

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