| Amanda Lacefield, LPCC-S | |
|
562 N Dixie Blvd Ste B4, Radcliff, KY 40160-1366 | |
| (270) 317-1318 | |
| Not Available |
| Full Name | Amanda Lacefield |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 562 N Dixie Blvd Ste B4, Radcliff, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235435736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPCCCA00216386 (Kentucky) | Primary |
| Entity Name | Yellow Sage Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306565635 PECOS PAC ID: 9830538784 Enrollment ID: O20240411004180 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Lacefield, LPCC-S 562 N Dixie Blvd # B4, Radcliff, KY 40160-1366 Ph: (270) 317-1318 | Amanda Lacefield, LPCC-S 562 N Dixie Blvd Ste B4, Radcliff, KY 40160-1366 Ph: (270) 317-1318 |
Bethany Mae Killian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 E Lincoln Trail Blvd, Radcliff, KY 40160 Phone: 270-317-1318 | |
Laquita Gaskins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Lassiter Ct, Radcliff, KY 40160 Phone: 270-300-1841 | |
Melinda Bogle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 990 S Dixie Blvd, Radcliff, KY 40160 Phone: 859-436-8411 | |
Christohper David Alvin Seals, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1072 S Dixie Blvd, Radcliff, KY 40160 Phone: 270-351-8166 Fax: 270-351-8322 | |
Christopher Andrew Clan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1072 S Dixie Blvd, Radcliff, KY 40160 Phone: 270-351-8166 Fax: 270-351-8322 | |
Cathy Ann Stanley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12824 Cub Run Hwy, Radcliff, KY 40160 Phone: 270-823-3405 |