Justin Amond Lincey
Individual provider Active NPI Professional Counselor · Middletown, KY
NPI 1174275366 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1174275366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 406 Blankenbaker Pkwy
Middletown, KY 40243-1881 - Phone
- (229) 789-8880
- NPI assigned
- Jan 19, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
406 Blankenbaker Pkwy
Middletown, KY 40243-1881
Mailing address
5407 Wintergreen Rd
Louisville, KY 40272-3413
Phone (229) 789-8880
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All providers in Middletown, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.