Provider Demographics
NPI:1568898450
Name:SHEELEY, AMANDA RICH (MS, QBHP)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:RICH
Last Name:SHEELEY
Suffix:
Gender:F
Credentials:MS, QBHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 US HIGHWAY 50 E STE 102
Mailing Address - Street 2:
Mailing Address - City:GREENDALE
Mailing Address - State:IN
Mailing Address - Zip Code:47025-8584
Mailing Address - Country:US
Mailing Address - Phone:812-458-5287
Mailing Address - Fax:
Practice Address - Street 1:181 US HIGHWAY 50 E STE 102
Practice Address - Street 2:
Practice Address - City:GREENDALE
Practice Address - State:IN
Practice Address - Zip Code:47025-8584
Practice Address - Country:US
Practice Address - Phone:812-458-5287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health