Justice, Amanda Leach

Justice, Amanda Leach is an individual health care provider with primary practice located at 3701 Lansdowne Drive , Ashland KY 41102. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Justice, Amanda Leach can be contacted via phone (606) 324-3005.

Contact Information

Primary practice address
3701 Lansdowne Drive Ashland KY 41102
Fax: (606) 329-1530
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1473 Kentucky

Profile Details

NPI number 1134478241
LBN Legal business name Justice, Amanda Leach
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Nov 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134478241 NPPES
Other APPROVED CIGNA
Other 12470590 CIGNA
MEDICAID 7100280860 CIGNA

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