Conley, Amanda

Conley, Amanda is an sole proprietor health care provider with primary practice located at 20600 Chagrin Blvd , Shaker Heights OH 44122-5327. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Conley, Amanda can be contacted via phone (216) 299-7736.

Contact Information

Primary practice address
20600 Chagrin Blvd Shaker Heights OH 44122-5327
Phone: (216) 299-7736
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1003363995
LBN Legal business name Conley, Amanda
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2016
Last updated Sep 8th, 2016 - about 9 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 1003363995 NPPES
Ohio MEDICAID 2847496

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