Individual provider · Type 1 NPI
Amanda Gilliam
Peer Specialist · South Shore, KY
NPI number
1912611468
Active
Practice location
472 Main St
South Shore, KY 41175-9558
Mailing address
PO Box 790
Ashland, KY 41105-0790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 299658 (KY) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2 other providers at this address
About NPI 1912611468
Amanda Gilliam's National Provider Identifier is 1912611468, issued on Jan 10, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in South Shore, KY. The record was last updated on Jun 10, 2025.