Provider Demographics
NPI:1700358272
Name:KRITES, AMY RENAE (MSW, LISW)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:RENAE
Last Name:KRITES
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 WAPAKONETA AVE
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-1461
Mailing Address - Country:US
Mailing Address - Phone:937-658-6242
Mailing Address - Fax:
Practice Address - Street 1:1130 WAPAKONETA AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-1461
Practice Address - Country:US
Practice Address - Phone:937-658-6242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-21
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1700724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health