Individual ProviderAmanda PerzelCounselorBehavioral Health & Social Service ProvidersPractice Address7459 Burlington Pike, Florence, KY 41042-1553(859) 282-6585(859) 578-3200PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Perzel is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1467706085Provider TypeIndividualFull NamePerzel, AmandaCredentialM.A.GenderFemaleSole ProprietorNoEnumeration Date11/5/2012Last Updated6/6/2016Contact InformationPractice LocationPractice Address7459 Burlington Pike, Florence, KY 41042-1553Phone(859) 282-6585FaxUnlisted FaxMailing LocationMailing Address503 Farrell Dr, Covington, KY 41011-3775Phone(859) 578-3200Fax(859) 578-3273Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense163034KentuckyProvider IdentifiersIDDescriptionIssuerID610661458DescriptionOtherIssuerTAX IDKentucky