Ridgeley, Amanda Marie

Ridgeley, Amanda Marie is an individual health care provider with primary practice located at 720 Coliseum Dr Ste 92 , Winston Salem NC 27106-5357. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Ridgeley, Amanda Marie can be contacted via phone (743) 255-4568.

Contact Information

Primary practice address
720 Coliseum Dr Ste 92 Winston Salem NC 27106-5357
Phone: (743) 255-4568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6362007710 Michigan
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio
Other Service Providers / Community Health Worker 172V00000X Ohio
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301017265 Michigan

Profile Details

NPI number 1619480712
LBN Legal business name Ridgeley, Amanda Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2017
Last updated Oct 18th, 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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