Healthcare Provider Details

I. General information

NPI: 1033054796
Provider Name (Legal Business Name): AMY N BEDDOW LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 LIBERTY ST
HARTFORD KY
42347-1121
US

IV. Provider business mailing address

PO BOX 575
HARTFORD KY
42347-0575
US

V. Phone/Fax

Practice location:
  • Phone: 270-504-0068
  • Fax: 270-298-8717
Mailing address:
  • Phone: 270-504-0068
  • Fax: 270-298-8717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number307606
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: