Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Amanda Caroline Mattock

Individual provider Peer Specialist · NPI 1043120678

Amanda Caroline Mattock is a Peer Specialist in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2026

Practice location Address checks out

721 W Market St
Louisville, KY 40202-2709
Phone: (502) 324-7800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 301272 (KY)

Record details

NPI number1043120678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 8, 2026
Last updated in NPPESSeptember 8, 2026
Certification dateSeptember 8, 2026

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