Clark, Amy

Clark, Amy is an individual health care provider with primary practice located at 7459 Burlington Pike , Florence KY 41042-1553. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Amy can be contacted via phone (859) 331-3292.

Contact Information

Primary practice address
7459 Burlington Pike Florence KY 41042-1553
Phone: (859) 331-3292
Fax: (859) 578-2864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1339 Kentucky

Profile Details

NPI number 1609262195
LBN Legal business name Clark, Amy
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Apr 10th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609262195 NPPES
Kentucky Other 610661458 TAX ID

Popular Providers