| Doctor Name: | AMANDA WEST |
| NPI Number: | 1578991519 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | 1182 |
| Business Practice Address: | 1074 S Dixie Blvd Radcliff, KY - 401601103 |
| Business Phone Number: | 2703518166 |
| Business Fax Number: | |
| Mailing Address: | 1074 S Dixie Blvd, RADCLIFF |
| State: | KY |
| Postal Code: | 401601103 |
| Phone Number: | 2703518166 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2013 |
| NPI Last Update Date: | 08/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |