Organization
WILLOW COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LACEFIELD LPCC-S (MANAGING MEMBER/THERAPIST)
(270) 363-7513
Entity
Organization
Contact information
Practice address
562 N DIXIE BLVD # B4, RADCLIFF, KY 40160-1366
(270) 317-1318
Mailing address
1019 FAIRVIEW AVE, RADCLIFF, KY 40160-2407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
06/08/2022
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