Amanda Dawn Self
Amanda Dawn Self is a Mental Illness Intermediate Care Facility in Tennessee Ridge, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1330 N Main StTennessee Ridge, TN 37178-4003
Phone: (888) 291-4357
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Intermediate Care Facility (primary) | Taxonomy 310500000X |
|---|
Record details
| NPI number | 1245815109 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 12, 2021 |
| Last updated in NPPES | March 12, 2021 |
| Certification date | February 18, 2021 |
| Mailing address | 220 Mockingbird St, Erin, TN 37061-6098 |