Lyle, Amy Denise

Lyle, Amy Denise is an individual health care provider with primary practice located at 1351 Newtown Pike , Lexington KY 40511-1275. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Lyle, Amy Denise can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
1351 Newtown Pike Lexington KY 40511-1275
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Kentucky

Profile Details

NPI number 1629569009
LBN Legal business name Lyle, Amy Denise
Credentials PSS, ASAM
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2018
Last updated May 22nd, 2018 - about 8 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 1629569009 NPPES
Kentucky MEDICAID 1790731081

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