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General NPI Number Information
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NPI Number | 1407394448
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Entity Type | Individual
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Provider Name | AMANDA TOWNSELL LPCC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 1169 EASTERN PKWY STE 3364
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City | LOUISVILLE
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State | KY
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Zip | 40217
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Country | US
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Telephone | 502-813-8280
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Fax | 502-813-8281
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Provider Business Mailing Address
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Address Line | 1169 EASTERN PKWY STE 334
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City | LOUISVILLE
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State | KY
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Zip | 40217-1417
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Country | US
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Telephone | 502-333-8412
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 243103
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 243013
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License Number State | KY
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