# ABG SUAIMHNEAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amanda Banks Galer LCSW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023481447
- **Authorized official:** MS. AMANDA BANKS GALER LCSW (PROVIDER)
- **Authorized official phone:** (859) 878-2176

## Contact information

- **Practice address:** 63484 LIGHTNING RD, COOS BAY, OR 97420-3896
- **Practice address phone:** (858) 878-2176
- **Mailing address:** 63484 LIGHTNING RD, COOS BAY, OR 97420-3896
- **Mailing address phone:** (858) 878-2176
- **Mailing address fax:** (859) 878-2177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3773 | KY | Yes |

## Other

- **Enumeration date:** 11/06/2015
- **Last updated:** 04/22/2024