Provider Demographics
NPI:1649710146
Name:HELLRIEGEL, AMANDA
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:HELLRIEGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 NIMROD WAY
Mailing Address - Street 2:
Mailing Address - City:WAREHMA
Mailing Address - State:MA
Mailing Address - Zip Code:02571-4804
Mailing Address - Country:US
Mailing Address - Phone:508-295-7990
Mailing Address - Fax:
Practice Address - Street 1:3008- A CRANBERRY HWY
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02538-4804
Practice Address - Country:US
Practice Address - Phone:508-295-7990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)