Amanda Michelle Blythe, LPCC
Individual provider Active NPI Mental Health Counselor · Glasgow, KY
NPI 1194544072 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1194544072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 293785 (KY)
- Practice address
- 505 Happy Valley Rd
Glasgow, KY 42141-1539 - Phone
- (270) 746-4357
- Fax
- (270) 245-1772
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293785 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isaiah 43 Christian Counseling Service | Mental Health | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 293785 | KY | Yes |
Addresses
Primary practice location
505 Happy Valley Rd
Glasgow, KY 42141-1539
Mailing address
505 Happy Valley Rd
Glasgow, KY 42141-1539
Phone (270) 746-4357
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All providers in Glasgow, KY · Mental Health 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 Oct 7, 2024. 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.