Grigsby, Amanda

Grigsby, Amanda is an individual health care provider with primary practice located at 840 Interstate Dr , Grayson KY 41143. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Grigsby, Amanda can be contacted via phone (606) 474-5151.

Contact Information

Primary practice address
840 Interstate Dr Grayson KY 41143
Phone: (606) 474-5151
Fax: (606) 475-3219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 128048 Kentucky

Profile Details

NPI number 1952404899
LBN Legal business name Grigsby, Amanda
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Aug 13th, 2018 - about 6 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 1952404899 NPPES
Other JAN 7,2009 LIFESYNCH
MEDICAID 7100283530 LIFESYNCH
Other 000000244565 LIFESYNCH
Other 11688454 LIFESYNCH

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