King, Amanda Michelle

King, Amanda Michelle is an sole proprietor health care provider with primary practice located at 100 Essex Ct Ste A , Madison AL 35758-3140. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. King, Amanda Michelle can be contacted via phone (256) 533-9393.

Contact Information

Primary practice address
100 Essex Ct Ste A Madison AL 35758-3140
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X L462 Alabama

Profile Details

NPI number 1811443906
LBN Legal business name King, Amanda Michelle
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2016
Last updated Feb 18th, 2019 - 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 1811443906 NPPES
Alabama Other 51183488 BLUE CROSS BLUE SHIELD OF AL

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