Amanda Gilliam

NPI #1912611468 in South Shore, Kentucky

Provider Information

NPI Number: 1912611468
Entity Type: Individual
Name: Amanda Gilliam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 10, 2023
Last Updated: Jun 10, 2025

Practice Location

Address: 472 MAIN ST
City: South Shore
State: Kentucky
ZIP Code: 41175-9558
Phone: (866) 233-1955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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