Individual provider · Type 1 NPI

Amanda Faye Clark, LPCC

Mental Health Counselor · Benton, KY

NPI number 1891656070 Active

Practice location

124 Tara Ct
Benton, KY 42025-7513

Fax (270) 493-1278

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X303123 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1891656070

Amanda Faye Clark, LPCC's National Provider Identifier is 1891656070, issued on Nov 18, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Benton, KY. The record was last updated on Nov 18, 2025.