# AMANDA T PAUL, LCSW, MT-BC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104331156
- **Authorized official:** AMANDA THOMASON PAUL LCSW, MT-BC (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (502) 640-3940

## Contact information

- **Practice address:** 4523 GREYMONT DR, LOUISVILLE, KY 40229-3588
- **Practice address phone:** (502) 640-3940
- **Mailing address:** 4523 GREYMONT DR, LOUISVILLE, KY 40229-3588
- **Mailing address phone:** (502) 640-3940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3813 | KY | Yes |

## Other

- **Enumeration date:** 12/12/2017
- **Last updated:** 12/12/2017