Healthcare Provider Details

I. General information

NPI: 1487206330
Provider Name (Legal Business Name): AMANDA KRISTEN RIGSBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 S MAIN ST
ESTILL SPRINGS TN
37330-4037
US

IV. Provider business mailing address

416 S MAIN ST
ESTILL SPRINGS TN
37330-4037
US

V. Phone/Fax

Practice location:
  • Phone: 931-461-1380
  • Fax:
Mailing address:
  • Phone: 931-461-1380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: