Individual provider · NPI-1

Amanda Basham, BS Ed.

Case Manager/Care Coordinator · Huntington, WV

NPI number1093634537
StatusActive
Last updated in NPPESJul 10, 2026

Details

NPI
1093634537
Entity type
Individual (NPI-1)
Name
Amanda Basham
Credential
BS Ed.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 10, 2026
Certification date
Jul 10, 2026
Last updated
Jul 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1235 6th Ave
Huntington, WV 25701-2311

Phone 681-432-0600

Mailing address

Po Box 2
Huntington, WV 25706-0002

Phone 681-432-0600

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