Provider Demographics
NPI:1417388950
Name:REAMER, AMANDA KRISTINE (LPC-MH)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:KRISTINE
Last Name:REAMER
Suffix:
Gender:F
Credentials:LPC-MH
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:KRISTINE
Other - Last Name:WOOLRIDGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC-MH
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6101 S LOUISE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5981
Practice Address - Country:US
Practice Address - Phone:605-312-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-10
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH20349101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health