Driggs, Amanda

Driggs, Amanda is an sole proprietor health care provider with primary practice located at 120 Sears Ave Ste 205, Louisville KY 40207-5072. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Driggs, Amanda can be contacted via phone (502) 230-1637.

Contact Information

Primary practice address
120 Sears Ave Ste 205 Louisville KY 40207-5072
Phone: (502) 230-1637
Fax: (502) 709-5117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3908 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0852 Kentucky

Profile Details

NPI number 1760702971
LBN Legal business name Driggs, Amanda
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2010
Last updated Apr 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760702971 NPPES
Kentucky MEDICAID 7100287520

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