Davenport, Amanda
Davenport, Amanda is an individual health care provider with primary practice located at 102 Main St Suite 217, Lagrange GA 30240-3225. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davenport, Amanda can be contacted via phone (706) 668-5035.Contact Information
Primary practice address
102 Main St Suite 217
Lagrange GA 30240-3225
Phone: (706) 668-5035
Fax: (706) 243-4939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW005606 | Georgia |
Profile Details
| NPI number | 1922547181 |
|---|---|
| LBN Legal business name | Davenport, Amanda |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2017 |
| Last updated | Feb 20th, 2017 - 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.
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