Kirby, Amanda Leigh

Kirby, Amanda Leigh is an sole proprietor health care provider with primary practice located at 1175 Revolution Mill Dr Ste 29-2 , Greensboro NC 27405-5079. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kirby, Amanda Leigh can be contacted via phone (336) 457-0827.

Contact Information

Primary practice address
1175 Revolution Mill Dr Ste 29-2 Greensboro NC 27405-5079
Phone: (336) 457-0827
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5421 North Carolina
Agencies / Community/Behavioral Health 251S00000X 5421 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5421 North Carolina

Profile Details

NPI number 1164575155
LBN Legal business name Kirby, Amanda Leigh
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2007
Last updated Jun 6th, 2022 - about 2 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 1164575155 NPPES
North Carolina MEDICAID 6103295

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