Overacre, Amanda Lynn
Overacre, Amanda Lynn is an individual health care provider with primary practice located at 730 N College Rd Ste A-B , Twin Falls ID 83301-3416. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Overacre, Amanda Lynn can be contacted via phone (208) 814-8000.Contact Information
Primary practice address
730 N College Rd Ste A-B
Twin Falls ID 83301-3416
Phone: (208) 814-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 002441 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C013833 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-42059 | Idaho |
Profile Details
| NPI number | 1821343815 |
|---|---|
| LBN Legal business name | Overacre, Amanda Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Jun 6th, 2024 - about 5 months 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 | 1821343815 | NPPES |
| Idaho | Other | 42059 | LCSW |
| Idaho | Other | C013833 | LCSW |
| Idaho | Other | P014431 | LCSW |
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