Sylvester, Amanda Rae

Sylvester, Amanda Rae is an sole proprietor health care provider with primary practice located at 8927 W Tucannon Ave Suite 107, Kennewick WA 99336-7176. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sylvester, Amanda Rae can be contacted via phone (509) 737-7052.

Contact Information

Primary practice address
8927 W Tucannon Ave Suite 107 Kennewick WA 99336-7176
Fax: (509) 619-0223
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW60134409 Washington
Behavioral Health & Social Service Providers / School 1041S0200X 394375J Washington

Profile Details

NPI number 1104160761
LBN Legal business name Sylvester, Amanda Rae
Credentials MSW, CMHS, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2012
Last updated Feb 17th, 2016 - about 8 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 1104160761 NPPES
Washington Other 12356553 CAQH PROVIDER ID

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