Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Gilliam

Individual provider Peer Specialist · NPI 1912611468

Amanda Gilliam is a Peer Specialist in South Shore, Kentucky. Licensed in Kentucky. Registered with an NPI since 2023.

Licensed in
KY
In the registry since
2023

Practice location Address checks out

472 Main St
South Shore, KY 41175-9558
Phone: (866) 233-1955
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 299658 (KY)

Record details

NPI number1912611468
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2023
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing addressPo Box 790, Ashland, KY 41105-0790