Kluttz, Amanda Lavaughn
Kluttz, Amanda Lavaughn is an individual health care provider with primary practice located at 725 Highland Ave , Winston Salem NC 27101-4206. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Kluttz, Amanda Lavaughn can be contacted via phone (336) 607-8523.Contact Information
Primary practice address
725 Highland Ave
Winston Salem NC 27101-4206
Phone: (336) 607-8523
Fax: (336) 727-1734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1487 | North Carolina |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | C006973 | North Carolina |
Profile Details
| NPI number | 1225175235 |
|---|---|
| LBN Legal business name | Kluttz, Amanda Lavaughn |
| Credentials | LCSW, LCAS, CSI |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 31st, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225175235 | NPPES |
| North Carolina | Other | C006973 | LCSW |
| North Carolina | Other | P003739 | LCSW |
| North Carolina | Other | 1487 | LCSW |
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