Tilsley, Amanda

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

Contact Information

Primary practice address
3701 Lansdowne Dr Ashland KY 41102
Phone: (606) 324-3005
Fax: (606) 329-1530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1811191810
LBN Legal business name Tilsley, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Jul 8th, 2007 - about 19 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 1811191810 NPPES
Kentucky MEDICAID 30610026

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