IndividualActive
Amanda Samudio, LPCCCA
NPI 1497133359 · Professional Counselor · Lexington, KY
Provider details
- NPI number
- 1497133359
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCCCA
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPCCCA00216359 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3439 Buckhorn Dr
Suite 160
Lexington, KY 40515-1716
Phone: (859) 721-1636
Approximate (ZIP-level) locationGet directions
Mailing address
3439 Buckhorn Dr
Lexington, KY 40515-1716
Registry dates
- Enumerated
- 2015-05-12
- Last updated
- 2015-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.