| Amanda L Blackburn, LMFT, CADC | |
|
401 E Chestnut St, Suite 610, Louisville, KY 40202-5700 | |
| (502) 813-6600 | |
| Not Available |
| Full Name | Amanda L Blackburn |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 401 E Chestnut St, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922328319 | NPI | - | NPPES |
| 1106 | Other | KY | CERTIFIED ALCOHOL AND ADDICTION COUNSELOR |
| 0824 | Other | KY | LICNESED MARRIAGE AND FAMILY THERAPIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1106 (Kentucky) | Secondary |
| 106H00000X | Marriage & Family Therapist | 0824 (Kentucky) | Primary |
| Entity Name | Kentucky Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932590338 PECOS PAC ID: 7618221300 Enrollment ID: O20181115002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda L Blackburn, LMFT, CADC 401 E Chestnut St, Suite 610, Louisville, KY 40202-5700 Ph: (502) 813-6600 | Amanda L Blackburn, LMFT, CADC 401 E Chestnut St, Suite 610, Louisville, KY 40202-5700 Ph: (502) 813-6600 |
Ms. Janice Marie Wohrle, MAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4010 Dupont Cir, Suite 379, Louisville, KY 40207 Phone: 502-894-9390 Fax: 502-895-1254 | |
Mrs. Monica Lynn Hurt, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4934 Brownsboro Rd, Louisville, KY 40222 Phone: 502-338-8100 | |
Dr. Joseph D'ambrosio, PHD, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 204 E Market St Ste A, Louisville, KY 40202 Phone: 502-588-4340 | |
Janie L. Hewitt, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11603 Shelbyville Rd Ste 5, Louisville, KY 40243 Phone: 502-341-8239 | |
Ms. Anne Mason, LMFT MSED Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 122 Franck Ave, Louisville, KY 40206 Phone: 502-897-7342 Fax: 592-899-3483 | |
Dr. John Wojcik, D.MIN, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3430 Newburg Rd, Suite 212, Louisville, KY 40218 Phone: 502-454-8800 Fax: 502-736-0140 | |
Lauren Virant, MSSW, MFT-A Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4010 Dupont Cir., Ste. 582, Louisville, KY 40207 Phone: 502-899-5411 |