Doctor Name: | MS. AMANDA KAYE HALL |
NPI Number: | 1225371214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCA |
License Number: | KY-1009 |
Business Practice Address: | 300 Hope St Mount Washington, KY - 400477757 |
Business Phone Number: | 5025381200 |
Business Fax Number: | 5025381201 |
Mailing Address: | Po Box 1429, MT WASHINGTON |
State: | KY |
Postal Code: | 400471429 |
Phone Number: | 5025381200 |
Fax Number: | 5025381201 |
NPI Enumeration Date: | 03/28/2013 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | KY-1009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |