Provider Demographics
NPI:1083098974
Name:AKERS, AMANDA (PSYD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:AKERS
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:RICKARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:830 N WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-1164
Mailing Address - Country:US
Mailing Address - Phone:912-421-9050
Mailing Address - Fax:912-623-4918
Practice Address - Street 1:3499 BLAZER PKWY STE 330
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2828
Practice Address - Country:US
Practice Address - Phone:912-421-9050
Practice Address - Fax:912-623-4918
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-10
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003907103T00000X
KY290448103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist