Vashakidze, Amanda

Vashakidze, Amanda is an sole proprietor health care provider with primary practice located at 5450 Snyder Ln , Rohnert Park CA 94928-2906. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Vashakidze, Amanda can be contacted via phone (707) 792-4750.

Contact Information

Primary practice address
5450 Snyder Ln Rohnert Park CA 94928-2906
Phone: (707) 792-4750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1932933959
LBN Legal business name Vashakidze, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2024
Last updated Jun 4th, 2026 - about 5 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.

Request for update

Popular Providers