Healthcare Provider Details

I. General information

NPI: 1750910964
Provider Name (Legal Business Name): INNER SOLACE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 GARDEN SPRINGS DR STE 160
LEXINGTON KY
40504-3664
US

IV. Provider business mailing address

1007 TRENT BLVD
LEXINGTON KY
40517-2913
US

V. Phone/Fax

Practice location:
  • Phone: 859-493-8255
  • Fax: 859-347-0537
Mailing address:
  • Phone: 859-533-2562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMANDA CAROL PARSONS
Title or Position: OWNER
Credential: LPCC-S
Phone: 859-493-8255