Byrd, Amanda Ruth

Byrd, Amanda Ruth is an individual health care provider with primary practice located at 2275 W Broadway St Ste G , Idaho Falls ID 83402-2902. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Byrd, Amanda Ruth can be contacted via phone (208) 524-7400.

Contact Information

Primary practice address
2275 W Broadway St Ste G Idaho Falls ID 83402-2902
Phone: (208) 524-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10278 Idaho

Profile Details

NPI number 1578818381
LBN Legal business name Byrd, Amanda Ruth
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Jan 21st, 2016 - about 8 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.

Request for update

Popular Providers