Adhami, Amanda

Adhami, Amanda is an individual health care provider with primary practice located at 645 N Walnut St , Bloomington IN 47404-3846. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Adhami, Amanda can be contacted via phone (812) 336-3570.

Contact Information

Primary practice address
645 N Walnut St Bloomington IN 47404-3846
Phone: (812) 336-3570
Fax: (812) 336-9010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 33008127A Indiana

Profile Details

NPI number 1669931341
LBN Legal business name Adhami, Amanda
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2019
Last updated Feb 24th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669931341 NPPES
Indiana Other 33008218A COMMERCIAL
Indiana MEDICAID 33008218A COMMERCIAL
Indiana MEDICAID 34009199A COMMERCIAL

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