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NPI Code Detail

MEDICARE: AMANDA BRASHEAR LPCC

MEDICARE:   AMANDA  BRASHEAR  LPCC
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
1101Y00000XCounselor240455KY

General Provider Information

NPI Number : 1710481346
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BRASHEAR LPCC
Provider Business Mailing Address
First Line : 501 DARBY CREEK RD STE 11
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-1605
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 501 DARBY CREEK RD STE 11
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-1605
Country : US
Telephone Number : 859-338-0466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 03/20/2018

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Directions to “ AMANDA BRASHEAR LPCC” Practice Location

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