# KEELY AMANDA LYONS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255991097
- **Gender:** F
- **Credential:** CSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 256627 | KY | — |
| 1041C0700X | Clinical Social Worker | 00001043 | KY | Yes |
| 106S00000X | Behavior Technician | RBT-18-60243 | NULL | — |

## Other

- **Enumeration date:** 06/14/2019
- **Last updated:** 07/21/2026