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NPI Code Detail

MEDICARE: AMANDA HALL

MEDICARE: AMANDA HALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor304368KY

General Provider Information

NPI Number : 1225720097
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA HALL
Provider Business Mailing Address
First Line : PO BOX 790
Second Line :
City : ASHLAND
State : KY
Zip : 41105-0790
Country : US
Telephone Number : 606-329-8588
Fax Number :
Provider Business Practice Location Address
First Line : 2165 WINCHESTER AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7745
Country : US
Telephone Number : 606-329-8588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2023
Last Update Date : 03/04/2026

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Directions to “ AMANDA HALL ” Practice Location

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