Shaneberger, Amanda

Shaneberger, Amanda is an individual health care provider with primary practice located at 2118 3 Mile Rd Nw , Grand Rapids MI 49544-1425. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shaneberger, Amanda can be contacted via phone (616) 222-3720.

Contact Information

Primary practice address
2118 3 Mile Rd Nw Grand Rapids MI 49544-1425
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401010181 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401010181 Michigan

Profile Details

NPI number 1154476398
LBN Legal business name Shaneberger, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Dec 11th, 2023 - about last year

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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