Amanda Roth, Llc
LBN: Amanda Roth, Llc
Amanda Roth, Llc is an health care organization with primary practice located at 956 12Th St , Cody WY 82414-3602. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Amanda Roth, Llc can be contacted via phone (307) 751-5111, or through Roth, Amanda via phone (307) 751-5111.
Contact Information
Primary practice address
956 12Th St
Cody WY 82414-3602
Phone: (307) 751-5111
Fax: (307) 587-4014
Website:
Authorized official contact:
Name: Roth, Amanda Licensed Professional Counselor (LPC)
Phone: (307) 751-5111
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1295448256 |
|---|---|
| LBN Legal business name | Amanda Roth, Llc |
| DBA Doing business as | |
| Authorized official | Roth, Amanda Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2023 |
| Last updated | Jan 4th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295448256 | NPPES |
| Wyoming | Other | LPC-2124 | MENTAL HEALTH PROFESSIONALS LICENSING BOARD |
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